NPI 1730606708 · live from the CMS NPI Registry
Anika Amin
Social Worker, Clinical in Portland, OR. National Provider Identifier 1730606708, active.
NPI record
| NPI | 1730606708 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1027 E Burnside St, Portland, OR 97214 |
| Practice phone | 503-239-8400 |
| Mailing address | 2738 Ne Broadway St, Portland, OR 97232 |
| Enumerated | August 29, 2017 |
| Last updated | January 24, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Social Worker, Clinical primary | 1041C0700X | A14569 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.