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NPI Code Detail

MEDICARE: MRS. CHRISTINA MARIE HOSTETLER LCSW

MEDICARE: MRS. CHRISTINA MARIE HOSTETLER LCSW
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
11041C0700XClinical Social WorkerL3862OR

General Provider Information

NPI Number : 1760725402
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA MARIE HOSTETLER LCSW
Provider Business Mailing Address
First Line : 500 NE MULTNOMAH ST STE 100
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2099
Country : US
Telephone Number : 800-813-2000
Fax Number :
Provider Business Practice Location Address
First Line : 19185 SW 90TH AVE
Second Line :
City : TUALATIN
State : OR
Zip : 97062-7558
Country : US
Telephone Number : 800-813-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2013
Last Update Date : 04/02/2026

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Directions to “ MRS. CHRISTINA MARIE HOSTETLER LCSW” Practice Location

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