MR. EOIN BASTABLE LCSW NPI 1043356322

NPI Information

  • NPI: 1043356322
  • Provider Name: MR. EOIN BASTABLE, LCSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 4520 NE 32ND PL
    PORTLAND, OR
    ZIP 97211
  • Phone: (503) 360-7011

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NPI Details

MR. Eoin Bastable, LCSW is a mental health counselor in Portland, OR. MR. Eoin Bastable, LCSW NPI is 1043356322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4520 NE 32ND PL
PORTLAND, OR
ZIP 97211-710
Phone: (503) 360-7011

The enumeration date for this NPI number is 1/30/2007 and was last updated on 1/11/2024.

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
1101YM0800XCounselorMental HealthL11451OREGONYes

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: 3/30/2025

NPI Synchronization or Removal

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