Individual provider Active NPI

Christine Salas, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1083288922
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
7624 SE Morrison St
Portland, OR 97215-2324
Phone
(619) 990-4572
NPI assigned
May 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

7624 SE Morrison St
Portland, OR 97215-2324

Mailing address

7624 SE Morrison St
Portland, OR 97215-2324
Phone (619) 990-4572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220805002278 OR Practitioner - Clinical Social Worker 0143602235 Reassigns benefits to 1 organization
Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Thriveworks Clinical - Oregon LLCGroup PAC ID 1254715006, 7 clinicians

Practice addresses (Care Compare)

7624 SE Morrison St
Portland, OR 97215-2324
Phone (503) 867-8550

9735 SW Shady LN
Suite 304
Tigard, OR 97223-5481
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - Oregon LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

9735 SW Shady Ln
Ste 304
Tigard, OR 97223
Phone (503) 204-0682

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1083288922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7624 SE MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152324",
            "telephone_number": "619-990-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7624 SE MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152324",
            "telephone_number": "619-990-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.