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

Bax Wilder White, MSW

Individual provider Clinical Social Worker · NPI 1972233757

Bax Wilder White, MSW is a Clinical Social Worker in Portland, Oregon. Qualified in 2022, 4 years ago. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

3615 NE Grand Ave
Portland, OR 97212-2104
Phone: (503) 281-1166
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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 (OR)

Record details

NPI number1972233757
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedJune 14, 2022
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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