Provider Type Icon

MINDFUL MENTAL AND BEHAVIORAL HEALTH PLLC NPI 1619571973


NPI Information

NPI: 1619571973
Provider Name: MINDFUL MENTAL AND BEHAVIORAL HEALTH PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1110 SE ALDER STREET
SUITE 301
PORTLAND, OR
ZIP 97214
Phone: (207) 316-2609
Get Directions

MINDFUL MENTAL AND BEHAVIORAL HEALTH PLLC is a psychiatric/mental health nurse practitioner in Portland, OR. MINDFUL MENTAL AND BEHAVIORAL HEALTH PLLC NPI is 1619571973. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1110 SE ALDER STREET
SUITE 301
PORTLAND, OR
ZIP 97214-400
Phone: (207) 316-2609
Fax: (325) 237-7921

The provider's authorized official is Andrna Erica Christopher .
The authorized official title is Owner and has the following contact phone number (207) 316-2609.

The enumeration date for this NPI number is 11/27/2020 and was last updated on 9/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.