NPI 1104750546 · live from the CMS NPI Registry
Brandon Alik
Social Worker, School in Tigard, OR. National Provider Identifier 1104750546, active.
NPI record
| NPI | 1104750546 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, School 1041S0200X |
| Practice location | 11125 Sw 79th Ave, Tigard, OR 97223 |
| Practice phone | 503-431-5137 |
| Enumerated | June 10, 2026 |
| Last updated | June 10, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, School primary | 1041S0200X | 557129 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.