Provider Demographics
NPI:1801155783
Name:NORDBERG, CINDY J (MS, CADC IIL)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:J
Last Name:NORDBERG
Suffix:
Gender:F
Credentials:MS, CADC IIL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 SW OAK ST STE 500
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-6597
Mailing Address - Country:US
Mailing Address - Phone:503-319-1850
Mailing Address - Fax:
Practice Address - Street 1:9600 SW OAK ST STE 500
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-6597
Practice Address - Country:US
Practice Address - Phone:503-319-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101YA0400X, 101YP2500X
101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health