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NPI Code Detail

MEDICARE: MORGAN PHARIS MSW, CSWA

MEDICARE: MORGAN PHARIS MSW, 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
1171M00000XCase Manager/Care Coordinator
2171M00000XCase Manager/Care Coordinator6767LA
3222Q00000XDevelopmental Therapist
41041C0700XClinical Social WorkerA15848OR

General Provider Information

NPI Number : 1649649450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN PHARIS MSW, CSWA
Provider Business Mailing Address
First Line : 2821 NE RODNEY AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97212-3025
Country : US
Telephone Number : 318-451-1254
Fax Number :
Provider Business Practice Location Address
First Line : 421 SW 5TH AVE STE 300
Second Line :
City : PORTLAND
State : OR
Zip : 97204-2205
Country : US
Telephone Number : 318-451-1254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2015
Last Update Date : 04/01/2025

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