Individual
MCKENNA TROI TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4224 NE HALSEY ST STE 335, PORTLAND, OR 97213-1568
(970) 795-8774
Mailing address
4720 NE GLISAN ST APT 103, PORTLAND, OR 97213-2967
(970) 795-8874
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
CSW.09927946
CO
1041C0700X
Clinical Social Worker
Primary
L13631
OR
Other
Enumeration date
12/24/2019
Last updated
03/18/2026
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