MEDICARE: MS. ZENA THOMAS MOREHEAD CSWA,CADC II

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
1	101YM0800X	Mental Health Counselor	A14357	OR

General Provider Information

NPI Number	:	1205257532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ZENA THOMAS MOREHEAD CSWA,CADC II

Provider Business Mailing Address
First Line	:	10920 SW BARBUR BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97219-8600
Country	:	US
Telephone Number	:	503-676-5482
Fax Number	:

Provider Business Practice Location Address
First Line	:	10920 SW BARBUR BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97219-8600
Country	:	US
Telephone Number	:	503-676-5482
Fax Number	:	541-345-0340

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2014
Last Update Date	:	11/05/2025

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