EQUIPOISE INTEGRAL COUNSELING NPI 1760250724

NPI Information

  • NPI: 1760250724
  • Provider Name: EQUIPOISE INTEGRAL COUNSELING
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: ACTIVSPACE 1722 NW RALEIGH ST
    SUITE 201
    PORTLAND, OR
    ZIP 97209
  • Phone: (503) 887-3608

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NPI Details

EQUIPOISE INTEGRAL COUNSELING is a mental health counselor in Portland, OR. EQUIPOISE INTEGRAL COUNSELING NPI is 1760250724. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

ACTIVSPACE 1722 NW RALEIGH ST
SUITE 201
PORTLAND, OR
ZIP 97209
Phone: (503) 887-3608
Fax: (503) 809-5088

The provider's authorized official is Lavinia Paola Magliocco .
The authorized official title is Professional Counselor and has the following contact phone number (503) 887-3608.

The enumeration date for this NPI number is 12/19/2023 and was last updated on 12/19/2023.

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
1101YP2500XCounselorProfessionalNo
2225600000XDance TherapistNo
3101YM0800XCounselorMental HealthYes

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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