Healthcare Provider Details

I. General information

NPI: 1184282014
Provider Name (Legal Business Name): TESS ZARNOWSKI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2019
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 SW SALMON ST APT 733
PORTLAND OR
97205-3842
US

IV. Provider business mailing address

3049 NW GREENBRIAR TER
PORTLAND OR
97210-2710
US

V. Phone/Fax

Practice location:
  • Phone: 503-887-1133
  • Fax:
Mailing address:
  • Phone: 503-887-1133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number37390
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL17442
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: