Healthcare Provider Details

I. General information

NPI: 1366740466
Provider Name (Legal Business Name): HOPE E. STOREY MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOPE MAPES

II. Dates (important events)

Enumeration Date: 03/14/2011
Last Update Date: 02/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 SW 8TH ST
REDMOND OR
97756-2114
US

IV. Provider business mailing address

124 SW 8TH ST
REDMOND OR
97756-2114
US

V. Phone/Fax

Practice location:
  • Phone: 541-279-5781
  • Fax:
Mailing address:
  • Phone: 541-279-5781
  • Fax: 541-504-8970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL4187
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: