Linn Rey Menzie Sr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4861 Issued in OR

Practice address

17734 SW Shasta TRL
Tualatin, OR 97062-8455

Phone

(503) 691-1718

NPI assigned

Mar 29, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oregon Department of Corrections

  • Preferred Provider Organization
  • Tualatin, OR
  • NPI 1659721397
  NPD (past) Authorized official

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1326570326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17734 SW SHASTA TRL",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628455",
            "telephone_number": "503-691-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17734 SW SHASTA TRL",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628455",
            "telephone_number": "503-691-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENZIE",
        "first_name": "LINN",
        "middle_name": "REY",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Mehanni, MD
• Melody Jones, Pmhnp, LLC
• Melody Jones, Pmhnp, LLC
• Debra L Mende, R.N.
• Melissa Brook Mendez
• Meridian Center for Surgical Excellence
• Meridian Family Care, LLC
• Meridian Park Oncology LLC
• Meridian Park Radiation Oncolog Center, Inc
• Meridian Park Radiation Oncology Center, Inc.

• Clinical Social Worker in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.