Healthcare Provider Details

I. General information

NPI: 1578903514
Provider Name (Legal Business Name): JENNIFER HOPKINSON MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2013
Last Update Date: 07/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 WARNER MILNE RD
OREGON CITY OR
97045-4014
US

IV. Provider business mailing address

256 WARNER MILNE RD
OREGON CITY OR
97045-4014
US

V. Phone/Fax

Practice location:
  • Phone: 503-655-8600
  • Fax: 503-557-5808
Mailing address:
  • Phone: 503-655-8600
  • Fax: 503-557-5808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5635
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: