MEDICARE: ERYN REMINGTON QMHP

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	L11427	OR

General Provider Information

NPI Number	:	1730720053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERYN REMINGTON QMHP

Provider Business Mailing Address
First Line	:	7213 SW HAZEL FERN RD
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97224-7716
Country	:	US
Telephone Number	:	503-214-2064
Fax Number	:	503-598-3600

Provider Business Practice Location Address
First Line	:	7213 SW HAZEL FERN RD
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97224-7716
Country	:	US
Telephone Number	:	503-214-2064
Fax Number	:	503-598-3600

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

Provider Enumeration Date	:	10/08/2019
Last Update Date	:	01/20/2026

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Directions to “ ERYN REMINGTON QMHP” Practice Location

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