CLINICOPS LLC NPI 1215713961

NPI Information

NPI: 1215713961
Provider Name: CLINICOPS LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1427 NW FLANDERS ST STE A
PORTLAND, OR
ZIP 97209
Phone: (503) 972-0235
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CLINICOPS LLC is a mental health counselor in Portland, OR. CLINICOPS LLC NPI is 1215713961. The provider is registered as an organization entity type.

The provider's business location address is:

1427 NW FLANDERS ST STE A
PORTLAND, OR
ZIP 97209-646
Phone: (503) 972-0235
Fax: (503) 379-1523

The provider's authorized official is Vanessa Esteves .
The authorized official title is Clinical Director and has the following contact phone number (503) 972-0235.

The enumeration date for this NPI number is 9/7/2023 and was last updated on 9/7/2023.

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
1	251S00000X	Community/Behavioral Health				No
2	101YM0800X	Counselor	Mental Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500732051	MEDICAID	OREGON

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: 5/5/2024

NPI Synchronization or Removal

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