Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Create Change, LLC

Organization Clinical Social Worker · NPI 1407210867

Create Change, LLC is a Clinical Social Worker in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

312 NW 10th Ave Ste 200
Portland, OR 97209-3121
Phone: (503) 842-7855
Fax: (503) 222-0984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2340 (OR)

Record details

NPI number1407210867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheila Walty — Director · (503) 842-7855
NPI enumeratedApril 11, 2016
Last updated in NPPESApril 11, 2016
Mailing address312 Nw 10th Ave, Suite 200, Portland, OR 97209-3121

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