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NORTHWEST FAMILY SERVICES NPI 1023476710


NPI Information

NPI: 1023476710
Provider Name: NORTHWEST FAMILY SERVICES
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
6200 SE KING RD
PORTLAND, OR
ZIP 97222
Phone: (503) 546-6377
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NORTHWEST FAMILY SERVICES is a counselor in Portland, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. NORTHWEST FAMILY SERVICES NPI is 1023476710. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6200 SE KING RD
PORTLAND, OR
ZIP 97222-891
Phone: (503) 546-6377

The provider's authorized official is Rose Fuller .
The authorized official title is Executive Director and has the following contact phone number (503) 546-6377.

The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/9/2016.


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
1175T00000XPeer SpecialistNo
21041C0700XSocial WorkerClinicalNo
3172V00000XCommunity Health WorkerNo
4101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500679014MEDICAIDOREGON

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: 11/14/2023

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