SECOND WIND MENTAL HEALTH CLINIC NPI 1679957708

NPI Information

  • NPI: 1679957708
  • Provider Name: SECOND WIND MENTAL HEALTH CLINIC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 11 SW BRANTLEY DRIVE
    WINSTON, OR
    ZIP 97496
  • Phone: (541) 679-0366

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NPI Details

SECOND WIND MENTAL HEALTH CLINIC is a mental health (including community mental health center) clinic center in Winston, OR. SECOND WIND MENTAL HEALTH CLINIC NPI is 1679957708. The provider is registered as an organization entity type.

The provider's business location address is:

11 SW BRANTLEY DRIVE
WINSTON, OR
ZIP 97496
Phone: (541) 679-0366
Fax: (541) 679-4821

The provider's authorized official is Tamara Lee .
The authorized official title is Single Member Llc and has the following contact phone number (541) 679-0366.

The enumeration date for this NPI number is 7/18/2015 and was last updated on 11/13/2015.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)200550033NPOREGONYes

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
1R138522MEDICARE UPINOREGON
2363LP0808XMEDICAIDOREGON

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: 11/21/2025

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