location
search-icon
institution
Brave Space, Llc
Community/Behavioral Health Agency in Portland, Oregon
NPI 1255885919

Brave Space, Llc is a Community/Behavioral Health Agency based in Portland, OR. Brave Space, Llc practices in Portland, OR. The NPI Number for Brave Space, Llc is 1255885919 and holds a License No. C3371 (Oregon).

The current practice location address for Brave Space, Llc is 3620 Se Powell Blvd # 102, Portland, OR and can be reached out via phone at 503-486-8936 and via fax at 503-894-6020.

Location: 3620 Se Powell Blvd # 102, Portland, OR, 97202-1880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255885919
Provider Name
Brave Space, Llc
Credential
Provider Entity Type
Organization
Address
3620 Se Powell Blvd # 102, Portland, OR, 97202-1880
Phone Number
503-486-8936
Fax Number
503-894-6020
Provider Enumeration Date
08/11/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
500717457 05 OR
institution
Provider Business Practice Location Address Details
Address
3620 Se Powell Blvd # 102
City
Portland
State
Oregon
Zip
97202-1880
Phone Number
503-486-8936
Fax Number
503-894-6020
person
Provider Business Mailing Address Details
Address
3620 Se Powell Blvd # 102
City
Portland
State
Oregon
Zip
97202-1880
Phone Number
503-486-8936
Fax Number
503-894-6020
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
C3371 (Oregon)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.