Provider Demographics
NPI:1366740466
Name:STOREY, HOPE E (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:E
Last Name:STOREY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:
Other - Last Name:MAPES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:124 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-2114
Mailing Address - Country:US
Mailing Address - Phone:541-279-5781
Mailing Address - Fax:541-504-8970
Practice Address - Street 1:124 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2114
Practice Address - Country:US
Practice Address - Phone:541-279-5781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-14
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL41871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500636859Medicaid
ORR159129Medicare PIN