Healthcare Provider Details

I. General information

NPI: 1932726015
Provider Name (Legal Business Name): TZU CHUN LIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9370 SW GREENBURG RD STE 321
TIGARD OR
97223-5421
US

IV. Provider business mailing address

9370 SW GREENBURG RD STE 321
TIGARD OR
97223-5421
US

V. Phone/Fax

Practice location:
  • Phone: 503-512-9191
  • Fax:
Mailing address:
  • Phone: 503-512-9191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW101599
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL16427
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: