Tyler Aaron Parkwell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6931 Issued in OR

Practice address

2222 NW Lovejoy St Ste 315
Portland, OR 97210-5101

Phone

(503) 413-8018

Fax

(503) 413-8011

NPI assigned

Dec 21, 2017

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1679089940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777",
            "telephone_number": "503-413-3900",
            "fax_number": "503-413-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY ST STE 315",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105101",
            "telephone_number": "503-413-8018",
            "fax_number": "503-413-8011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7632 SW Durham Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972247584",
            "country_code": "US",
            "telephone_number": "800-936-7456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKWELL",
        "first_name": "TYLER",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Parks
• Stuart K Parks, DMD
• Terri Ann Parks, OTR/L
• Trisha Parks, DSOM, LAC.
• Parkway Toxicology LLC
• Parkwood Clinic LLC
• Stacy Parlen, MA MFT, CGACI
• Candace Denise Parmer, LMT
• Janeel Parmiani, ANP
• Dakota Parmley

• All providers in Portland, OR
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.