MEDICARE: TERESA L STROUP BA, MSW, LCSW

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	L6925	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013210970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA L STROUP BA, MSW, LCSW

Provider Business Mailing Address
First Line	:	9600 SW OAK ST STE 500520
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97223-6583
Country	:	US
Telephone Number	:	971-364-8069
Fax Number	:	971-209-7261

Provider Business Practice Location Address
First Line	:	9600 SW OAK ST
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97223-6583
Country	:	US
Telephone Number	:	971-364-8069
Fax Number	:	971-209-7261

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2010
Last Update Date	:	10/27/2025

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