Unknown Individual – Clinical Social Worker, NPI 1588788772
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
917 N 200TH ST
#404
SHORELINE, WA 981333147
Phone: (541) 840-3714
Fax: (206) 784-2739
Type: Mailing
724 CARDLEY AVE
MEDFORD, OR 975046124
Phone: (541) 840-3714
Fax: (206) 784-2739
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98133)
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