MEDICARE: RUTHANNE CONDIE 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
1	1041C0700X	Clinical Social Worker	L17316	OR

General Provider Information

NPI Number	:	1558226217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTHANNE CONDIE LCSW

Provider Business Mailing Address
First Line	:	3400 NE JOHN OLSEN AVE STE 200
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97124-5817
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2051 KAEN RD
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-4035
Country	:	US
Telephone Number	:	971-245-1812
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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Directions to “ RUTHANNE CONDIE LCSW” Practice Location

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