Individual provider · Type 1 NPI

Pamela Self

Clinical Social Worker · Portland, OR

NPI number 1851742175 Active

Practice location

2415 SE 43rd Ave Ste 200
Portland, OR 97206-1671

Call (503) 238-0705 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Other practice locations

  • 3036 NE Mlk Jr Blvd, Portland, OR 97212-3053 · (503) 889-2500
  • 847 NE 19th Ave Ste 100, Portland, OR 97232-2684 · (503) 238-0769

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X19-04-13 (OR)
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XL10482 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1851742175

Pamela Self's National Provider Identifier is 1851742175, issued on Jun 28, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Sep 28, 2023.