Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Create Change, LLC

Organization Clinical Social Worker · NPI 1407210867

Create Change, LLC provides Clinical Social Worker services 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 Not confirmed with CMS for 10 years — call before visiting
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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