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KARTINI CLINIC PC NPI 1134205198


NPI Information

NPI: 1134205198
Provider Name: KARTINI CLINIC PC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 38D0950810

Address:
3530 N VANCOUVER AVE STE 400
PORTLAND, OR
ZIP 97227
Phone: (503) 249-8851
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KARTINI CLINIC PC is an adolescent and children mental health clinic center in Portland, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. KARTINI CLINIC PC NPI is 1134205198. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3530 N VANCOUVER AVE STE 400
PORTLAND, OR
ZIP 97227-798
Phone: (503) 249-8851
Fax: (503) 282-3409

The provider's authorized official is Shanna Greene .
The authorized official title is Coo and has the following contact phone number (503) 249-8851.

The CLIA number assigned to this NPI record is 38D0950810 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 7/21/2022.


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 HealthOREGONNo
2208000000XPediatricsOREGONNo
32080A0000XPediatricsAdolescent MedicineOREGONNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthOREGONNo
5261QM0855XClinic/CenterAdolescent and Children Mental 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: 4/28/2024

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.