4D Treatment Mentor Services
Peer Specialist in Portland, Oregon
1023866878- Practice location
- 11010 SE Division St Ste 200, Portland, OR 97266-6400
- Phone
- 971-422-0044
- Fax
- —
- Last updated
- May 7, 2024
4D Treatment Mentor Services is a healthcare organization based in Portland, OR. The NPI number for 4D Treatment Mentor Services is 1023866878. The current practice location address is 11010 SE Division St Ste 200, Portland, OR 97266-6400 and the office can be reached by phone at 971-422-0044. The NPI was assigned on May 7, 2024 and the record was last updated in NPPES on May 7, 2024.
●Provider Profile Details
- NPI Number
- 1023866878
- Provider Name
- 4D Treatment Mentor Services
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Organization Subpart
- Yes
- Parent Organization
- 4TH Dimension Recovery Center
- Authorized Official
- Dr. Nicholas Mathias Thomas Crapser, PHD, LPC, LMHC · Clinical Director · 971-422-0044
- Enumeration Date
- May 7, 2024
- Last Update Date
- May 7, 2024
- Certification Date
- May 7, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 11010 SE Division St Ste 200
Portland, OR 97266-6400 - City
- Portland
- State
- Oregon
- ZIP
- 97266-6400
- Country
- US
- Phone Number
- 971-422-0044
✉Business Mailing Address
- Address
- 11010 SE Division St Ste 200
Portland, OR 97266-6400 - City
- Portland
- State
- OR
- ZIP
- 97266-6400
- Phone Number
- 971-422-0044
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Peer Specialist 193400000X - Single Specialty Group | 175T00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of 4D Treatment Mentor Services?
The NPI number of 4D Treatment Mentor Services is 1023866878. It was assigned on May 7, 2024 and is currently active in the NPPES registry.
What is the specialty of 4D Treatment Mentor Services?
4D Treatment Mentor Services is registered under the primary taxonomy Peer Specialist (code 175T00000X).
Where does 4D Treatment Mentor Services practice?
The practice location is 11010 SE Division St Ste 200, Portland, OR 97266-6400. The office can be reached at 971-422-0044 (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 1023866878 directly on the NPPES registry website at npiregistry.cms.hhs.gov.