HEALINGLIFE SKILLS PC NPI 1528213345

NPI Information

NPI: 1528213345
Provider Name: HEALINGLIFE SKILLS PC
Classification: Registered Nurse - 163WP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1924 NE COUCH ST
PORTLAND, OR
ZIP 97232
Phone: (503) 788-7726
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HEALINGLIFE SKILLS PC is a psychiatric/mental health registered nurse in Portland, OR. HEALINGLIFE SKILLS PC NPI is 1528213345. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1924 NE COUCH ST
PORTLAND, OR
ZIP 97232-023
Phone: (503) 788-7726

The provider's authorized official is Tamara Owen .
The authorized official title is President and has the following contact phone number (503) 788-7726.

The enumeration date for this NPI number is 11/20/2008 and was last updated on 11/20/2008.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	092007075N6	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
1	103565	MEDICARE PIN	OREGON
2	S76920	MEDICARE UPIN	OREGON
3	000565	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: 4/28/2024

NPI Synchronization or Removal

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