Provider Demographics
NPI:1144681313
Name:ARLEDGE, ANGELA THERESE
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:THERESE
Last Name:ARLEDGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:THERESE
Other - Last Name:HODGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:524 N TILLAMOOK ST STE 102B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1993
Mailing Address - Country:US
Mailing Address - Phone:971-441-0400
Mailing Address - Fax:971-441-0404
Practice Address - Street 1:524 N TILLAMOOK ST STE 102B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1993
Practice Address - Country:US
Practice Address - Phone:971-441-0400
Practice Address - Fax:971-441-0404
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA12422104100000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker