LIFE GUIDE N.W. LLC NPI 1609192178

NPI Information

NPI: 1609192178
Provider Name: LIFE GUIDE N.W., LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
13232 SE STARK ST STE 3
PORTLAND, OR
ZIP 97233
Phone: (503) 255-2742
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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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		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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