MEDICARE: MRS. BRITT AXNESS L.C.S.W.

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	1041C0700X	Clinical Social Worker	L6728	OR

General Provider Information

NPI Number	:	1386182822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITT AXNESS L.C.S.W.

Provider Business Mailing Address
First Line	:	1110 SE ALDER ST STE 300
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-2400
Country	:	US
Telephone Number	:	503-208-6576
Fax Number	:

Provider Business Practice Location Address
First Line	:	2705 E BURNSIDE ST STE 206
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-1768
Country	:	US
Telephone Number	:	503-964-4831
Fax Number	:

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

Provider Enumeration Date	:	02/04/2017
Last Update Date	:	03/30/2026

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