Individual provider Active NPI

Josephine Bilbao Bourke, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1932212883
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3407 Issued in OR
Practice address
555 SE MLK Jr Blvd Ste 105
Portland, OR 97214-2120
Phone
(541) 313-6509
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 L3407 OR Primary

Addresses

Primary practice location

555 SE MLK Jr Blvd Ste 105
Portland, OR 97214-2120

Mailing address

2305 SE 50TH Ave Ste 200
Portland, OR 97215-3853
Phone (541) 313-6509

Other practice location 1

19500 SE Stark St
Portland, OR 97233-5757
Phone (503) 669-5051

Other names 1

  • Josie Irune Bilbao Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L3407ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1932212883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SE 50TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153853",
            "telephone_number": "541-313-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SE MLK JR BLVD STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142120",
            "telephone_number": "541-313-6509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19500 SE Stark St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972335757",
            "country_code": "US",
            "telephone_number": "503-669-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURKE",
        "first_name": "JOSEPHINE",
        "middle_name": "BILBAO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSIE",
            "last_name": "BILBAO",
            "middle_name": "IRUNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.