Jeremy M Brautman
Counselor, Mental Health in Portland, Oregon
1659270460- Practice location
- 11600 SW Shilo Ln Ste 200, Portland, OR 97225-5919
- Phone
- 503-878-8885
- Fax
- 971-297-1360
- Last updated
- November 5, 2026
Jeremy M Brautman is a Counselor, Mental Health based in Portland, OR. The NPI number for Jeremy M Brautman is 1659270460 and holds license No. R12605 (OR). The current practice location address is 11600 SW Shilo Ln Ste 200, Portland, OR 97225-5919 and the office can be reached by phone at 503-878-8885 and by fax at 971-297-1360. The NPI was assigned on November 5, 2026 and the record was last updated in NPPES on November 5, 2026.
●Provider Profile Details
- NPI Number
- 1659270460
- Provider Name
- Jeremy Maxwell Brautman
- Entity Type
- Individual (Type 1 NPI)
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Enumeration Date
- November 5, 2026
- Last Update Date
- November 5, 2026
- Certification Date
- November 5, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 11600 SW Shilo Ln Ste 200
Portland, OR 97225-5919 - City
- Portland
- State
- Oregon
- ZIP
- 97225-5919
- Country
- US
- Phone Number
- 503-878-8885
- Fax Number
- 971-297-1360
✉Business Mailing Address
- Address
- 11600 SW Shilo Ln Ste 200
Portland, OR 97225-5919 - City
- Portland
- State
- OR
- ZIP
- 97225-5919
- Phone Number
- 503-878-8885
- Fax Number
- 971-297-1360
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health | 101YM0800X | Yes | R12605 | OR |
#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 Jeremy M Brautman?
The NPI number of Jeremy M Brautman is 1659270460. It was assigned on November 5, 2026 and is currently active in the NPPES registry.
What is the specialty of Jeremy M Brautman?
Jeremy M Brautman is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X) and holds license No. R12605 (OR).
Where does Jeremy M Brautman practice?
The practice location is 11600 SW Shilo Ln Ste 200, Portland, OR 97225-5919. The office can be reached at 503-878-8885 (phone) or 971-297-1360 (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 1659270460 directly on the NPPES registry website at npiregistry.cms.hhs.gov.