MEDICARE: HELP WITH A HEART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1003744301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELP WITH A HEART

Provider Business Mailing Address
First Line	:	1230 DIVISION ST STE 8
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-1521
Country	:	US
Telephone Number	:	503-307-5993
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 DIVISION ST STE 8
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-1521
Country	:	US
Telephone Number	:	503-307-5993
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. REN FONBUENA
Credential	:	CSWA
Telephone Number	:	503-307-5993

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	06/02/2026

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Directions to “HELP WITH A HEART ” Practice Location

Language	Start Address	Practice Location

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