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NW ANXIETY INSTITUTE LLC NPI 1043649080


NPI Information

NPI: 1043649080
Provider Name: NW ANXIETY INSTITUTE, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
325 NW 21ST AVE
SUITE 100
PORTLAND, OR
ZIP 97209
Phone: (503) 679-9435
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NW ANXIETY INSTITUTE, LLC is a mental health counselor in Portland, OR. NW ANXIETY INSTITUTE, LLC NPI is 1043649080. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

325 NW 21ST AVE
SUITE 100
PORTLAND, OR
ZIP 97209-174
Phone: (503) 679-9435
Fax: (503) 296-2262

The provider's authorized official is Allison Bonifay .
The authorized official title is Licensed Mental Health Therapist and has the following contact phone number (503) 679-9435.

The enumeration date for this NPI number is 11/8/2013 and was last updated on 11/8/2013.


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
1101YM0800XCounselorMental HealthC2836OREGONYes

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

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.