ALICIA BANISTER NPI 1649668138

NPI Information

NPI: 1649668138
Provider Name: ALICIA BANISTER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3930 SE IVON ST
PORTLAND, OR
ZIP 97202
Phone: (503) 893-2067
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Alicia Banister is a mental health counselor in Portland, OR. Alicia Banister NPI is 1649668138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3930 SE IVON ST
PORTLAND, OR
ZIP 97202-651
Phone: (503) 893-2067

The enumeration date for this NPI number is 1/6/2015 and was last updated on 8/24/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		21093	OREGON	No
2	101YM0800X	Counselor	Mental Health	C6803	OREGON	Yes

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

NPI Synchronization or Removal

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