Active NPI
Rhea Allison Wren, MSW
- Social Worker
- Fairview, OR
National Provider Identifier
1275315327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M13612
- Practice address
- 1800 NE Market Dr
Fairview, OR 97024-7000 - Phone
- (503) 660-0600
- NPI assigned
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M13612 | OR | Primary |
Addresses
Primary practice location
1800 NE Market Dr
Fairview, OR 97024-7000
Mailing address
16700 SE Stoneybrook CT
Clackamas, OR 97015-6756
Phone (714) 345-9537
Other names 1
- Rhea Allison Wilcox
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M13612 | OR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1275315327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16700 SE STONEYBROOK CT",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970156756",
"telephone_number": "714-345-9537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 NE MARKET DR",
"city": "FAIRVIEW",
"state": "OR",
"postal_code": "970247000",
"telephone_number": "503-660-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WREN",
"first_name": "RHEA",
"middle_name": "ALLISON",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-13",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "M13612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RHEA",
"last_name": "WILCOX",
"middle_name": "ALLISON",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairview, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.