LIFEWORKS NORTHWEST NPI 1689812166

NPI Information

  • NPI: 1689812166
  • Provider Name: LIFEWORKS NORTHWEST
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 5415 SW WESTGATE DRIVE
    PORTLAND, OR
    ZIP 97221
  • Phone: (503) 645-3581

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NPI Details

LIFEWORKS NORTHWEST is an addiction (substance use disorder) counselor in Portland, OR. LIFEWORKS NORTHWEST NPI is 1689812166. The provider is registered as an organization entity type.

The provider's business location address is:

5415 SW WESTGATE DRIVE
PORTLAND, OR
ZIP 97221-406
Phone: (503) 645-3581
Fax: (503) 629-8517

The provider's authorized official is Mary Monnat .
The authorized official title is Ceo and has the following contact phone number (503) 645-3581.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 3/9/2022.

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
1251S00000XCommunity/Behavioral HealthNo
2324500000XSubstance Abuse Rehabilitation FacilityNo
3101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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
1206763MEDICAIDOREGON

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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