Active NPIIndividual provider

Dane Achalas

Counselor, Mental Health in Portland, Oregon

NPI Number1053703470
Practice location
17710 NE Halsey St, Portland, OR 97230-6734
Fax
971-293-3469
Last updated
February 22, 2023

Dane Achalas is a Counselor, Mental Health based in Portland, OR. The NPI number for Dane Achalas is 1053703470 and holds license No. professionallicense. The current practice location address is 17710 NE Halsey St, Portland, OR 97230-6734 and the office can be reached by phone at 971-293-3468 and by fax at 971-293-3469. The NPI was assigned on February 23, 2015 and the record was last updated in NPPES on February 22, 2023.

●Provider Profile Details

NPI Number
1053703470
Provider Name
Dane Achalas
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Enumeration Date
February 23, 2015
Last Update Date
February 22, 2023
NPI Status
Active

◉Business Practice Location Address

Address
17710 NE Halsey St
Portland, OR 97230-6734
State
Oregon
ZIP
97230-6734
Country
US
Phone Number
971-293-3468
Fax Number
971-293-3469

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✉Business Mailing Address

Address
3587 Heathrow Way
Medford, OR 97504-4004
City
Medford
State
OR
ZIP
97504-4004
Phone Number
541-858-8170

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XYesprofessionallicense—

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dane Achalas?

The NPI number of Dane Achalas is 1053703470. It was assigned on February 23, 2015 and is currently active in the NPPES registry.

What is the specialty of Dane Achalas?

Dane Achalas is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X) and holds license No. professionallicense.

Where does Dane Achalas practice?

The practice location is 17710 NE Halsey St, Portland, OR 97230-6734. The office can be reached at 971-293-3468 (phone) or 971-293-3469 (fax).

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 1053703470 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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