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NPI Code Detail

MEDICARE: MELEAH JOY NORDQUIST CSWA

MEDICARE: MELEAH JOY NORDQUIST 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 WorkerA14554OR

General Provider Information

NPI Number : 1497232813
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELEAH JOY NORDQUIST CSWA
Provider Business Mailing Address
First Line : 2206 SE WASHINGTON ST
Second Line :
City : PORTLAND
State : OR
Zip : 97222-7615
Country : US
Telephone Number : 541-640-0016
Fax Number :
Provider Business Practice Location Address
First Line : 5240 NE ELAM YOUNG PKWY
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-6437
Country : US
Telephone Number : 503-846-4555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2018
Last Update Date : 03/26/2026

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