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MARY CHAKHTOURA
NPI 1679212427
Social Worker - Clinical in Portland, OR

Active since May 31, 2022PECOS Enrolled
3500 NE MARTIN LUTHER KING JR BLVD STE 200, PORTLAND, OR 97212(503) 327-8205 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2026, Sep 9, 2025, Sep 8, 2023 (3 updates tracked since 2023).

About Mary Chakhtoura NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY CHAKHTOURA (NPI 1679212427) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L17969) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679212427
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY CHAKHTOURA
Location Address3500 NE MARTIN LUTHER KING JR BLVD STE 200Portland, OR 97212-2093
Mailing Address2039 E Burnside StPortland, OR 97214-1649 · (206) 397-6815
Phone(503) 327-8205
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 31, 2022
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1679212427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L17969
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3500 NE MARTIN LUTHER KING JR BLVD STE 200, Portland, OR 97212
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Chakhtoura is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183194384
PECOS Enrollment IDI20260529000044
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA MARIN DURAN
Social Worker
3500 NE MARTIN LUTHER KING JR BLVD STE 200
PORTLAND, OR 97212
Multnomah County (503) 327-8205
ANYA GABRIELLE CREA VANCE LPC-C7301
Counselor (Professional)
3500 NE MARTIN LUTHER KING JR BLVD STE 200
PORTLAND, OR 97212
Multnomah County (503) 327-8205
JILLIAN WALSH LPCA
Counselor (Professional)
3500 NE MARTIN LUTHER KING JR BLVD STE 200
PORTLAND, OR 97212
Multnomah County (503) 327-8205
BLAKE WALLACE CSWA
Social Worker (Clinical)
3500 NE MARTIN LUTHER KING JR BLVD STE 200
PORTLAND, OR 97212
Multnomah County (503) 327-8205
JOSHUA LAMONT ALLEN LCSW
Counselor (Mental Health)
3500 NE MARTIN LUTHER KING JR BLVD STE 200
PORTLAND, OR 97212
Multnomah County (503) 327-8205
ERIC NARAMORE MFT ASSOCIATE
Marriage & Family Therapist
3500 NE MARTIN LUTHER KING JR BLVD STE 200
PORTLAND, OR 97212
Multnomah County (551) 427-0332

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Chakhtoura's NPI number?

The NPI number for Mary Chakhtoura is 1679212427. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Mary Chakhtoura located?

Mary Chakhtoura practices at 3500 NE Martin Luther King Jr Blvd Ste 200, Portland, OR 97212. The listed phone number is (503) 327-8205.

What is Mary Chakhtoura's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Chakhtoura enrolled in Medicare?

Yes. Mary Chakhtoura is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Chakhtoura was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.