| Doctor Name: | DR. DAVID HUGH HAVEN |
| NPI Number: | 1003095209 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | 1787 |
| Business Practice Address: | 1525 Ne Weidler St Ste 201 Portland, OR - 972321410 |
| Business Phone Number: | 5033120281 |
| Business Fax Number: | |
| Mailing Address: | 1525 Ne Weidler St Ste 201, PORTLAND |
| State: | OR |
| Postal Code: | 972321410 |
| Phone Number: | 5033120281 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2007 |
| NPI Last Update Date: | 12/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1787 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |