Provider Demographics
NPI:1720645419
Name:HECHLER, CHARLOTTE LAURA ANN
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:LAURA ANN
Last Name:HECHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1419 SE OAK ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-1429
Mailing Address - Country:US
Mailing Address - Phone:206-914-7529
Mailing Address - Fax:
Practice Address - Street 1:1030 SW MORRISON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2626
Practice Address - Country:US
Practice Address - Phone:206-914-7529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical