NPI 1205710795 · live from the CMS NPI Registry
Talia Marie Thelen Akre, LCSW
Social Worker, Clinical in Gresham, OR. National Provider Identifier 1205710795, active.
NPI record
| NPI | 1205710795 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 320 N Main Ave Ste 201d, Gresham, OR 97030 |
| Practice phone | 917-455-1883 |
| Mailing address | 320 N Main Ave Ste 201, Gresham, OR 97030 |
| Enumerated | August 5, 2025 |
| Last updated | August 5, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | L11889 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.