DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHOENIX MCCULLOCH, MSW

Active Sole Proprietor

PHOENIX MCCULLOCH, MSW is a Social Worker healthcare provider located in PORTLAND, Oregon. NPI 1083897912 is currently active in the NPPES registry. Verify at CMS.

Social Worker · PORTLAND, OR

Registration Details

NPI Number
1083897912
Provider Type
Individual
Gender
Female
NPI Issued
Dec 13, 2007 (18.689360770178 yrs)
Last Updated
May 22, 2023
Sole Proprietor
Yes

Practice Information

Address
3050 SE DIVISION ST STE 205
PORTLAND, OR, 972021997
Browse OR providers · Browse ZIP 97202
Phone
9718082115
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in PORTLAND, OR

Name Credential NPI
MARY ANNE PLUMB MSW 1336130814
DORIS MAE BEARD MSW 1124008495
MR. TIMOTHY JAMES PETERS LCSW 1770541138
NOAH KRESSEL MSW 1083643712
LAURIE ANN KRESS LCSW 1659485662
MR. DEL R. WEBB M.A., L.M.S.W. 1891801320
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.