CHILDREN'S PROGRAM NPI 1124187323

NPI Information

NPI: 1124187323
Provider Name: CHILDREN'S PROGRAM
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
7707 SW CAPITOL HWY
PORTLAND, OR
ZIP 97219
Phone: (503) 452-8002
Get Directions

CHILDREN'S PROGRAM is a professional counselor in Portland, OR. CHILDREN'S PROGRAM NPI is 1124187323. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7707 SW CAPITOL HWY
PORTLAND, OR
ZIP 97219-458
Phone: (503) 452-8002

The provider's authorized official is Mindy J Ranik .
The authorized official title is Clinic Coordinator and has the following contact phone number (503) 452-8002.

The enumeration date for this NPI number is 12/6/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YP2500X	Counselor	Professional	OREGON	Yes
2	103TC0700X	Psychologist	Clinical	OREGON	X
3	103TC2200X	Psychologist	Clinical Child & Adolescent	OREGON	X
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	OREGON	X
5	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	OREGON	X

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

NPI Synchronization or Removal

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