EVERGREEN COUNSELING AND CONSULTATION NPI 1295629806

NPI Information

  • NPI: 1295629806
  • Provider Name: EVERGREEN COUNSELING AND CONSULTATION
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 8855 SW HOLLY LN STE 111
    WILSONVILLE, OR
    ZIP 97070
  • Phone: (503) 902-8431

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NPI Details

EVERGREEN COUNSELING AND CONSULTATION is a mental health (including community mental health center) clinic center in Wilsonville, OR. EVERGREEN COUNSELING AND CONSULTATION NPI is 1295629806. The provider is registered as an organization entity type.

The provider's business location address is:

8855 SW HOLLY LN STE 111
WILSONVILLE, OR
ZIP 97070-793
Phone: (503) 902-8431

The provider's authorized official is Evan Michael Lafountain .
The authorized official title is Owner and has the following contact phone number (219) 669-8267.

The enumeration date for this NPI number is 6/6/2025 and was last updated on 6/18/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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

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