TRAUMA HEALING NW LLC NPI 1669088050

NPI Information

  • NPI: 1669088050
  • Provider Name: TRAUMA HEALING NW, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 4800 MEADOWS RD STE 300
    LAKE OSWEGO, OR
    ZIP 97035
  • Phone: (971) 201-1720

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NPI Details

TRAUMA HEALING NW, LLC is a mental health counselor in Lake Oswego, OR. TRAUMA HEALING NW, LLC NPI is 1669088050. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4800 MEADOWS RD STE 300
LAKE OSWEGO, OR
ZIP 97035-277
Phone: (971) 201-1720

The provider's authorized official is Lynae Nelson .
The authorized official title is Member and has the following contact phone number (971) 201-1720.

The enumeration date for this NPI number is 9/21/2020 and was last updated on 9/21/2020.

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

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 Other Provider Identifier Issuer
1C4674OTHEROREGONOBLPCT

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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