Healthcare Provider Details

I. General information

NPI: 1932327293
Provider Name (Legal Business Name): HOPE FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 SE 182ND AVE
GRESHAM OR
97030-5013
US

IV. Provider business mailing address

2710 SE 182ND AVE.
GRESHAM OR
97030
US

V. Phone/Fax

Practice location:
  • Phone: 503-667-1435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC1979
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1730
License Number StateOR

VIII. Authorized Official

Name: SHELIA M RODGERS BORDEN
Title or Position: CLINICAL DIRECTOR
Credential: LCSW, ACSW, LSW
Phone: 503-667-1435