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NPI Code Detail

MEDICARE: MARGARET DRACKERT MACLEOD LCSW

MEDICARE: MARGARET DRACKERT MACLEOD 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
1104100000XSocial Worker0396OR
21041C0700XClinical Social Worker0396OR

General Provider Information

NPI Number : 1871638759
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET DRACKERT MACLEOD LCSW
Provider Business Mailing Address
First Line : 1809 SW 32ND ST
Second Line :
City : GRESHAM
State : OR
Zip : 97080-8500
Country : US
Telephone Number : 503-492-0691
Fax Number :
Provider Business Practice Location Address
First Line : 1500 NE IRVING ST STE 250
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2265
Country : US
Telephone Number : 503-736-9760
Fax Number : 503-233-4359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 09/11/2025

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