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NPI Code Detail

MEDICARE: FAMILY CROSSROADS INC.

MEDICARE: FAMILY CROSSROADS INC.
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 WorkerL074OR

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 : 1225446891
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY CROSSROADS INC.
Provider Business Mailing Address
First Line : 9425 SW TERWILLIGER BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97219-4857
Country : US
Telephone Number : 503-730-1454
Fax Number : 503-892-4571
Provider Business Practice Location Address
First Line : 5 CENTERPOINTE DR STE 400
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-8661
Country : US
Telephone Number : 503-730-1454
Fax Number : 503-892-4571
Authorized Official
Title or Position : PRACTICE MGR
Name : LUANNE BURSEY
Credential :
Telephone Number : 503-708-9871
Provider Enumeration Date : 07/28/2014
Last Update Date : 01/28/2026

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Directions to “FAMILY CROSSROADS INC. ” Practice Location

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