Healthcare Provider Details

I. General information

NPI: 1871638759
Provider Name (Legal Business Name): MARGARET DRACKERT MACLEOD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 NE IRVING ST STE 250
PORTLAND OR
97232-2265
US

IV. Provider business mailing address

1809 SW 32ND ST
GRESHAM OR
97080-8500
US

V. Phone/Fax

Practice location:
  • Phone: 503-736-9760
  • Fax: 503-233-4359
Mailing address:
  • Phone: 503-492-0691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0396
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0396
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: