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KARTINI INTENSIVE OUTPATIENT PROGRAM NPI 1073699013


NPI Information

NPI: 1073699013
Provider Name: KARTINI INTENSIVE OUTPATIENT PROGRAM
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2800 N. VANCOUVER AVE
SUITE 118
PORTLAND, OR
ZIP 97227
Phone: (503) 249-8851
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KARTINI INTENSIVE OUTPATIENT PROGRAM is a mental health counselor in Portland, OR. KARTINI INTENSIVE OUTPATIENT PROGRAM NPI is 1073699013. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2800 N. VANCOUVER AVE
SUITE 118
PORTLAND, OR
ZIP 97227-634
Phone: (503) 249-8851
Fax: (503) 282-3409

The provider's authorized official is Steve Nemirow .
The authorized official title is Director and has the following contact phone number (503) 249-8851.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 8/22/2020.


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 HealthNON-NUMBERED CERTIFIOREGONYes

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
126624890OTHEROREGONDOMESTIC LLC
2NON-NUMBERED CERTIFIOTHEROREGONNON-INPATIENT MH FACILITY

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.