NPI 1053768663 · live from the CMS NPI Registry
Jade Adams
Social Worker, Clinical in Portland, OR. National Provider Identifier 1053768663, active.
NPI record
| NPI | 1053768663 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1825 Ne Glisan St, Portland, OR 97232 |
| Practice phone | 503-963-7676 |
| Mailing address | Po Box 8459, Portland, OR 97207 |
| Enumerated | May 24, 2016 |
| Last updated | April 3, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | — |
| Social Worker, Clinical primary | 1041C0700X | L11297 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.