SPROUT THERAPY PDX NPI 1457190969

NPI Information

  • NPI: 1457190969
  • Provider Name: SPROUT THERAPY PDX
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 7704 N HEREFORD AVE
    PORTLAND, OR
    ZIP 97203
  • Phone: (971) 319-4827

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NPI Details

SPROUT THERAPY PDX is a mental health counselor in Portland, OR. SPROUT THERAPY PDX NPI is 1457190969. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7704 N HEREFORD AVE
PORTLAND, OR
ZIP 97203-434
Phone: (971) 319-4827

The provider's authorized official is Rachel Sweet .
The authorized official title is Associate Clinician and has the following contact phone number (541) 954-6006.

The enumeration date for this NPI number is 5/23/2024 and was last updated on 5/23/2024.

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
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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