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NPI Code Detail

MEDICARE: MS. LINDA CARI ESTERGARD LCSW, PHD, PC

MEDICARE: MS. LINDA CARI ESTERGARD LCSW, PHD, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist2106OR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R161082OTHERORMEDICARE PTAN-INDIVIDUAL
2R138282OTHERORMEDICARE PTAN-GROUP

General Provider Information

NPI Number : 1134342587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA CARI ESTERGARD LCSW, PHD, PC
Provider Business Mailing Address
First Line : 9 MONROE PKWY STE 270
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-8866
Country : US
Telephone Number : 503-675-2830
Fax Number : 503-675-2852
Provider Business Practice Location Address
First Line : 9 MONROE PKWY STE 270
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-8866
Country : US
Telephone Number : 503-675-2830
Fax Number : 503-675-2852
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/05/2024

Similar Medicare Providers

1962625335 — LINDA C ESTERGARD, PHD, MSW, PC
Practice Location Address:
9 MONROE PKWY STE 270
LAKE OSWEGO, OR
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Practice Fax: 503-675-2852
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Practice Fax: 503-675-2852
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LAKE OSWEGO, OR
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1073976072 — CHELSEA BIRT
Practice Location Address:
9 MONROE PKWY STE 270
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Practice Fax: 503-675-2852

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