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

Individual provider Clinical Social Worker · NPI 1194329342

Eddie Mark Mounivong, MSW is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Phone: (503) 220-8262
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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

Record details

NPI number1194329342
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorYes
NPI enumeratedNovember 29, 2020
Last updated in NPPESJune 16, 2021
Certification dateFebruary 6, 2021

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