MR. TIMOTHY J LAFOLETTE PMHNP NPI 1386938033

NPI Information

NPI: 1386938033
Provider Name: MR. TIMOTHY J LAFOLETTE, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
6309 SE 86TH AVE
PORTLAND, OR
ZIP 97266
Phone: (503) 389-5366
Get Directions

MR. Timothy J Lafolette, PMHNP is a psychiatric/mental health nurse practitioner in Portland, OR. MR. Timothy J Lafolette, PMHNP NPI is 1386938033. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6309 SE 86TH AVE
PORTLAND, OR
ZIP 97266-464
Phone: (503) 389-5366

The NPI 1386938033 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2011 and was last updated on 3/5/2024.

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	163W00000X	Registered Nurse		RN60302047	WASHINGTON	No
2	163W00000X	Registered Nurse		201042898RN	OREGON	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP60302050	WASHINGTON	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201250134NP	OREGON	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	500649528	MEDICAID	OREGON
2	2022839	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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