NPI 1598060279 · live from the CMS NPI Registry
Theodore Adams, ASW
Social Worker, Clinical in Beaverton, OR. National Provider Identifier 1598060279, active.
NPI record
| NPI | 1598060279 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1841 Sw Merlo Dr, Beaverton, OR 97003 |
| Practice phone | 503-259-5575 |
| Mailing address | 14600 Nw Cornell Rd, Portland, OR 97229 |
| Enumerated | January 11, 2011 |
| Last updated | August 31, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | ASW63789 (CA) |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.