POWERED BY SELF LOVE OREGON LLC NPI 1821730417

NPI Information

  • NPI: 1821730417
  • Provider Name: POWERED BY SELF LOVE OREGON LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: POWERED BY SELF LOVE OREGON LLC
  • Address: 5305 RIVER RD N STE B1
    KEIZER, OR
    ZIP 97303
  • Phone: (657) 321-9765

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NPI Details

POWERED BY SELF LOVE OREGON LLC is a psychiatric/mental health nurse practitioner in Keizer, OR. POWERED BY SELF LOVE OREGON LLC NPI is 1821730417. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Powered By Self Love Oregon Llc.

The provider's business location address is:

5305 RIVER RD N STE B1
KEIZER, OR
ZIP 97303-324
Phone: (657) 321-9765
Fax: (229) 218-2667

The provider's authorized official is Loan Pham .
The authorized official title is Founder, Ceo and has the following contact phone number (714) 880-5065.

The enumeration date for this NPI number is 4/13/2022 and was last updated on 11/7/2022.

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
1363LP0808XNurse PractitionerPsychiatric/Mental 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

NPI Synchronization or Removal

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