IndividualActive
Consuelo Icovino
NPI 1851281802 · Social Worker · Happy Valley, OR
Provider details
- NPI number
- 1851281802
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- L8368 (OR)
Practice location
11211 Se 82nd Ave Ste O
Happy Valley, OR 97086-7641
Phone: (503) 722-6200
Mailing address
2051 Kaen Rd Ste 154
Oregon City, OR 97045-4035
Registry dates
- Enumerated
- 2025-07-09
- Last updated
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.