# NORTHWEST INTEGRATED SENIOR SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801398292
- **Authorized official:** DANA KAPPEN LCSW (MANAGER)
- **Authorized official phone:** (503) 607-8855

## Contact information

- **Practice address:** 4531 SE BELMONT ST STE 107, PORTLAND, OR 97215-1675
- **Practice address phone:** (503) 607-8855
- **Practice address fax:** (503) 296-2033
- **Mailing address:** 4531 SE BELMONT ST STE 107, PORTLAND, OR 97215-1675
- **Mailing address phone:** (503) 607-8855
- **Mailing address fax:** (503) 296-2033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L7548 | OR | Yes |

## Other

- **Enumeration date:** 03/01/2018
- **Last updated:** 02/06/2021