NPI 1174349674 · live from the CMS NPI Registry
Eleni Andersen, MSW
Social Worker, Clinical in Portland, OR. National Provider Identifier 1174349674, active.
NPI record
| NPI | 1174349674 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 10011 Se Division St Ste 200, Portland, OR 97266 |
| Practice phone | 503-966-2022 |
| Enumerated | November 29, 2024 |
| Last updated | November 29, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | A14539 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.