148835
Clinic/Center, Mental Health (Including Community Mental Health Center) in Portland, Oregon
1861382384- Practice location
- 529 SE Grand Ave, Portland, OR 97214-2232
- Phone
- 971-270-0468
- Fax
- —
- Last updated
- July 7, 2025
148835 is a healthcare organization based in Portland, OR. The NPI number for 148835 is 1861382384. The current practice location address is 529 SE Grand Ave, Portland, OR 97214-2232 and the office can be reached by phone at 971-270-0468. The NPI was assigned on July 7, 2025 and the record was last updated in NPPES on July 7, 2025.
●Provider Profile Details
- NPI Number
- 1861382384
- Provider Name
- 148835
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Rshaffer E Shaffer, LCSW · Member · 805-657-0097
- Enumeration Date
- July 7, 2025
- Last Update Date
- July 7, 2025
- Certification Date
- July 7, 2025
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 529 SE Grand Ave
Portland, OR 97214-2232 - City
- Portland
- State
- Oregon
- ZIP
- 97214-2232
- Country
- US
- Phone Number
- 971-270-0468
✉Business Mailing Address
- Address
- 529 SE Grand Ave
Portland, OR 97214-2232 - City
- Portland
- State
- OR
- ZIP
- 97214-2232
- Phone Number
- 971-270-0468
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Portland, OR
View all providers in Portland →?Frequently Asked Questions
What is the NPI number of 148835?
The NPI number of 148835 is 1861382384. It was assigned on July 7, 2025 and is currently active in the NPPES registry.
What is the specialty of 148835?
148835 is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does 148835 practice?
The practice location is 529 SE Grand Ave, Portland, OR 97214-2232. The office can be reached at 971-270-0468 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861382384 directly on the NPPES registry website at npiregistry.cms.hhs.gov.