Individual
MRS. KRISTI LYNN TASKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8555 SW APPLE WAY STE 320, PORTLAND, OR 97225-1775
(503) 298-4592
(619) 383-6701
Mailing address
8555 SW APPLE WAY STE 320, PORTLAND, OR 97225-1775
(503) 298-4592
(619) 383-6701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
R0580571
NY
1041C0700X
Clinical Social Worker
Primary
L3259
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WDBCH
MEDICARE GROUP
OR
05
—
164936
—
OR
Enumeration date
07/31/2006
Last updated
03/27/2025
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