LIFE GUIDE N.W. LLC NPI 1609192178

NPI Information

  • NPI: 1609192178
  • Provider Name: LIFE GUIDE N.W., LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 13232 SE STARK ST STE 3
    PORTLAND, OR
    ZIP 97233
  • Phone: (503) 255-2742

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NPI Details

LIFE GUIDE N.W., LLC is an addiction (substance use disorder) counselor in Portland, OR. LIFE GUIDE N.W., LLC NPI is 1609192178. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13232 SE STARK ST STE 3
PORTLAND, OR
ZIP 97233-573
Phone: (503) 255-2742
Fax: (503) 255-2742

The provider's authorized official is Stevie Bradford Hoggans .
The authorized official title is Program Director and has the following contact phone number (503) 255-2742.

The enumeration date for this NPI number is 4/8/2010 and was last updated on 4/12/2010.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)OREGONYes

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: 3/30/2025

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