BRAINOPTIMAL NW NPI 1295632313

NPI Information

  • NPI: 1295632313
  • Provider Name: BRAINOPTIMAL NW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • :
  • Address: 10260 SOUTHWEST GREENBURG ROAD
    SUITE 400 OFFICE 426
    PORTLAND, OR
    ZIP 97223
  • Phone: (503) 804-3815

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NPI Details

BRAINOPTIMAL NW is a mental health counselor in Portland, OR. BRAINOPTIMAL NW NPI is 1295632313. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

10260 SOUTHWEST GREENBURG ROAD
SUITE 400 OFFICE 426
PORTLAND, OR
ZIP 97223-514
Phone: (503) 804-3815

The provider's authorized official is Lisa Aasheim .
The authorized official title is Owner/provider and has the following contact phone number (503) 804-3815.

The enumeration date for this NPI number is 10/22/2026 and was last updated on 10/22/2026.

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

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