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NPI Code Detail

MEDICARE: ALLISON DEBORAH TWIDWELL CSWA

MEDICARE: ALLISON DEBORAH TWIDWELL CSWA
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 WorkerA16800OR

General Provider Information

NPI Number : 1144176488
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON DEBORAH TWIDWELL CSWA
Provider Business Mailing Address
First Line : 1110 SE ALDER ST STE 210
Second Line :
City : PORTLAND
State : OR
Zip : 97214-2400
Country : US
Telephone Number : 971-999-3193
Fax Number : 971-206-9672
Provider Business Practice Location Address
First Line : 1110 SE ALDER ST STE 210
Second Line :
City : PORTLAND
State : OR
Zip : 97214-2400
Country : US
Telephone Number : 971-999-3193
Fax Number : 971-206-9672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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