DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TINA SELLERS LCSW

MEDICARE: TINA SELLERS 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
11041C0700XClinical Social WorkerLCSW88652CA
21041C0700XClinical Social WorkerL8395OR

Other Identifiers

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

General Provider Information

NPI Number : 1134503253
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA SELLERS LCSW
Provider Business Mailing Address
First Line : 6605 SE LAKE RD
Second Line :
City : MILWAUKIE
State : OR
Zip : 97222-2161
Country : US
Telephone Number : 503-655-8401
Fax Number : 503-655-8429
Provider Business Practice Location Address
First Line : 6605 SE LAKE RD
Second Line :
City : MILWAUKIE
State : OR
Zip : 97222-2161
Country : US
Telephone Number : 503-655-8401
Fax Number : 503-655-8429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2015
Last Update Date : 03/17/2026

Similar Medicare Providers

1750239604 — BRIANA HERNANDEZ
Practice Location Address:
6605 SE LAKE RD
MILWAUKIE, OR
97222-2161
Practice Phone: 503-655-8401
Practice Fax:
1427904754 — BRIANNA JEAN GOODELL
Practice Location Address:
6605 SE LAKE RD
MILWAUKIE, OR
97222-2161
Practice Phone: 503-655-8471
Practice Fax:
1518095553 — CASEY FRANCES BOHANNON CADC III, QMHP , MS
Practice Location Address:
6605 SE LAKE RD
MILWAUKIE, OR
97222-2161
Practice Phone: 503-655-8401
Practice Fax: 503-655-8429
1497961015 — KATHRYN KELLY FEIGIN
Practice Location Address:
6605 SE LAKE RD
MILWAUKIE, OR
97222-2161
Practice Phone: 503-655-8471
Practice Fax:
1235494675 — MS. WENDY MAYBURY
Practice Location Address:
6605 SE LAKE RD
MILWAUKIE, OR
97222-2161
Practice Phone: 503-655-8401
Practice Fax:
1043551484 — SUZANNE LAPIDUS
Practice Location Address:
6605 SE LAKE RD
MILWAUKIE, OR
97222-2161
Practice Phone: 503-655-8401
Practice Fax: 503-655-8429

Directions to “ TINA SELLERS LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.