Active NPI
Eleanor Koepke, L.C.S.W.
- Clinical Social Worker
- Hillsboro, OR
National Provider Identifier
1679737811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1671
- Practice address
- 161 NW Adams Ave
Second Floor
Hillsboro, OR 97124-3017 - Phone
- (503) 681-8100
- NPI assigned
- Jul 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1671 | OR | Primary |
Addresses
Primary practice location
161 NW Adams Ave
Second Floor
Hillsboro, OR 97124-3017
Mailing address
PO Box 2034
Hillsboro, OR 97123-1918
Phone (503) 681-8100
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 |
|---|---|---|---|
| 1671 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1679737811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2034",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971231918",
"telephone_number": "503-681-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 NW ADAMS AVE",
"address_2": "SECOND FLOOR",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971243017",
"telephone_number": "503-681-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEPKE",
"first_name": "ELEANOR",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "1671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.