NPI 1275182909 · live from the CMS NPI Registry
Madeline Ammar
Social Worker, Clinical in Beaverton, OR. National Provider Identifier 1275182909, active.
NPI record
| NPI | 1275182909 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1915 Ne Stucki Ave Ste 308, Beaverton, OR 97006 |
| Practice phone | 971-249-2149 |
| Mailing address | 10350 N Vancouver Way # 5338, Portland, OR 97217 |
| Enumerated | September 5, 2019 |
| Last updated | July 25, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | L11333 (OR) |
| Counselor, Mental Health | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.