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

Mary Chakhtoura

Individual provider Clinical Social Worker · NPI 1679212427

Mary Chakhtoura is a Clinical Social Worker in Portland, Oregon. Qualified in 2023, 3 years ago. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2022
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Practice location Address checks out

3500 NE Martin Luther King Jr Blvd Ste 200
Portland, OR 97212-2093
Phone: (503) 327-8205
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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 L17969 (OR)

Record details

NPI number1679212427
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2022
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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