Provider Demographics
NPI:1528444064
Name:MORFORD, LINDA (CRM II, THW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:MORFORD
Suffix:
Gender:F
Credentials:CRM II, THW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2545 NE FLANDERS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-3139
Mailing Address - Country:US
Mailing Address - Phone:503-235-3546
Mailing Address - Fax:503-235-3791
Practice Address - Street 1:2545 NE FLANDERS ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-3139
Practice Address - Country:US
Practice Address - Phone:503-235-3546
Practice Address - Fax:503-253-3791
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTHW0361175T00000X
OR21-CRM-II-0023175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist