SOCIAL 58 LLC NPI 1093432957

NPI Information

  • NPI: 1093432957
  • Provider Name: SOCIAL 58 LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1515 SW 5TH AVE STE 930
    PORTLAND, OR
    ZIP 97201
  • Phone: (503) 836-3104

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NPI Details

SOCIAL 58 LLC is a mental health counselor in Portland, OR. SOCIAL 58 LLC NPI is 1093432957. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1515 SW 5TH AVE STE 930
PORTLAND, OR
ZIP 97201-406
Phone: (503) 836-3104

The provider's authorized official is Steven M Brown .
The authorized official title is Director/owner and has the following contact phone number (503) 836-3104.

The enumeration date for this NPI number is 10/21/2022 and was last updated on 9/2/2025.

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 HealthYes

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: 11/21/2025

NPI Synchronization or Removal

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