Healthcare Provider Details

I. General information

NPI: 1063536506
Provider Name (Legal Business Name): KAREN C ADAMSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 SW HAZELBROOK RD
TUALATIN OR
97062-6980
US

IV. Provider business mailing address

15119 SW 91ST AVE
TIGARD OR
97224-5781
US

V. Phone/Fax

Practice location:
  • Phone: 503-431-5084
  • Fax:
Mailing address:
  • Phone: 503-828-6558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4828
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: