KAIRA CRADDOCK


Address: 8212 Sw Locust St, Tigard, OR 97223-5822
Phone: 5032242068

KAIRA CRADDOCK (NPI# 1548735616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548735616
Entity Type Individual
Full Name KAIRA CRADDOCK
Practice Address 8212 Sw Locust St
Tigard
OR 97223-5822
Mailing Address 707 Ne Couch St
Portland
OR 97232-2922
Practice Telephone 5032242068
Enumeration Date 2018-10-04
Last Update Date 2018-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Office Location

Street Address 8212 SW LOCUST ST
City TIGARD
State OR
Zip Code 97223-5822

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578994661 Michelle Knowles Counselor 8212 Sw Locust St, Tigard, OR 97223-5822 2013-11-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760042618 Tess Ivie Manso Counselor 8915 Degrees Center St, Tigard, OR 97223 2019-06-13
1780141804 Amybrunermd LLC Obstetrics & Gynecology 6958 Sw Varns Street, Portland, OR 97223 2019-02-25
1417425034 Patience Marie Rutto Counselor 8915 Sw Center Streret, Tigard, OR 97223 2018-11-13
1871089581 Marina E Menegol Behavioral Analyst Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 2018-07-05
1215423165 Katherine Virginia Eichner Psychologist 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 2018-07-03
1043717390 Rayna Donnelly Physician Assistant 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 2018-04-11
1376059725 Kaylie Marilyn Reyes Behavioral Analyst 9115 Sw Oleson Road, Portland, OR 97223 2017-12-21
1841704004 Kathleen Terrell Taylor Occupational Therapist 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 2017-11-27
1487163036 Susie Riess Counselor 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 2017-09-27
1043731243 Tam Nguyen Optometrist 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 2017-06-28
Find all providers in zip 97223

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811333248 Brian Nadal Social Worker 8935 Sw Center Street, Tigard, OR 97223 2013-05-13
1366726127 Martyn Moore Social Worker 11875 Sw 91st Ave, #46, Tigard, OR 97223-6332 2011-09-28
1780852566 Chinwe Ukachi Madu Social Worker 7320 Sw Hunziker Rd Ste 300, Tigard, OR 97223-2302 2008-02-14
1851507768 Jeanette Morrison Social Worker 10090 Sw Highland Dr, Tigard, OR 97224-4602 2007-05-15
1518972918 Kristi Lynn Tasker Social Worker 7455 Sw Beveland Rd, Tigard, OR 97223-8610 2006-07-31
1932617693 Richard Mark Golosinskiy Social Worker 8915 Sw Center St, Tigard, OR 97223 2018-01-16
1164800405 Dalyn Jolene Molinaro Social Worker 8915 Sw Center St, Tigard, OR 97223-6307 2015-05-07
1346638772 Silvia Caballero-fay Social Worker 8915 Sw Center St, Tigard, OR 97223-6307 2015-01-08
1538570270 John Andrew Preheim Social Worker 8915 Sw Center St, Tigard, OR 97223-6307 2014-05-15
1033529920 Freya Poller Social Worker 8915 Sw Center St, Tigard, OR 97223-6307 2014-05-01
Find all providers in TIGARD

Competitor

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City TIGARD
Zip Code 97223

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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