Provider Demographics
NPI:1932504545
Name:EPPELSHEIMER, RHONDA (CSWA)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:EPPELSHEIMER
Suffix:
Gender:F
Credentials:CSWA
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:2526 NE 1ST DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-2380
Mailing Address - Country:US
Mailing Address - Phone:503-260-3491
Mailing Address - Fax:
Practice Address - Street 1:707 SW GAINES ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239
Practice Address - Country:US
Practice Address - Phone:503-494-2705
Practice Address - Fax:503-494-6868
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA54051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical