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NPI Code Detail

MEDICARE: NORTHWEST FAMILY SERVICES

MEDICARE: NORTHWEST FAMILY SERVICES
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
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275695934
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST FAMILY SERVICES
Provider Business Mailing Address
First Line : 6200 SE KING RD
Second Line :
City : PORTLAND
State : OR
Zip : 97222-2891
Country : US
Telephone Number : 503-546-6377
Fax Number : 503-546-9397
Provider Business Practice Location Address
First Line : 6200 SE KING RD
Second Line :
City : PORTLAND
State : OR
Zip : 97222-2891
Country : US
Telephone Number : 503-546-6377
Fax Number : 503-546-9397
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : ROSE FULLER
Credential :
Telephone Number : 503-546-6377
Provider Enumeration Date : 12/15/2006
Last Update Date : 09/29/2025

Similar Medicare Providers

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Practice Location Address:
6200 SE KING RD
PORTLAND, OR
97222-2891
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Practice Fax:
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Practice Fax:
1174862809 — ROBERT HARRIS
Practice Location Address:
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Practice Fax:
1497167753 — AMY KATHRYN DE LA TORRE MSW, LCSW, CADC I
Practice Location Address:
6200 SE KING RD
PORTLAND, OR
97222-2891
Practice Phone: 503-546-6377
Practice Fax:
1417353921 — CARLOS V ROMERO CADC L., CPS
Practice Location Address:
6200 SE KING RD
PORTLAND, OR
97222-2891
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1508233354 — JACLYN KAHNKE MA, CADC I
Practice Location Address:
6200 SE KING RD
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97222-2891
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Directions to “NORTHWEST FAMILY SERVICES ” 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.

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