AUTUMN MORAN SIMMONS NPI 1972176766

NPI Information

NPI: 1972176766
Provider Name: AUTUMN MORAN SIMMONS
Classification:
Entity Type: Individual
Address:
2318 NE MLK JR BLVD
PORTLAND, OR
ZIP 97212
Phone: (503) 335-8611
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Autumn Moran Simmons is a healthcare provider in Portland, OR. Autumn Moran Simmons NPI is 1972176766. 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:

2318 NE MLK JR BLVD
PORTLAND, OR
ZIP 97212-715
Phone: (503) 335-8611

The enumeration date for this NPI number is 7/20/2021 and was last updated on 5/19/2023.

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	101YM0800X	Counselor	Mental Health	22-QMHA-R-2421	OREGON	No

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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