BALANCED LIVING PDX LLC NPI 1528411402

NPI Information

NPI: 1528411402
Provider Name: BALANCED LIVING PDX, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4511 SE CESAR E CHAVEZ BLVD
PORTLAND, OR
ZIP 97202
Phone: (503) 890-9762
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BALANCED LIVING PDX, LLC is a mental health counselor in Portland, OR. BALANCED LIVING PDX, LLC NPI is 1528411402. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4511 SE CESAR E CHAVEZ BLVD
PORTLAND, OR
ZIP 97202-119
Phone: (503) 890-9762
Fax: (503) 200-5550

The provider's authorized official is Karen Maloney .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (503) 890-9762.

The enumeration date for this NPI number is 7/15/2016 and was last updated on 7/15/2016.

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	101YM0800X	Counselor	Mental Health	C3199	OREGON	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: 11/14/2023

NPI Synchronization or Removal

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