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NPI Code Detail

MEDICARE: MONTANA PINDELL CSWA

MEDICARE: MONTANA PINDELL 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 WorkerA16652OR

General Provider Information

NPI Number : 1881544898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONTANA PINDELL CSWA
Provider Business Mailing Address
First Line : 3705 N OVERLOOK BLVD APT 209
Second Line :
City : PORTLAND
State : OR
Zip : 97227-2036
Country : US
Telephone Number : 541-951-8732
Fax Number :
Provider Business Practice Location Address
First Line : 3727 NE MLK JR BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97212-1112
Country : US
Telephone Number : 888-875-7820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ MONTANA PINDELL CSWA” Practice Location

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