NPI 1245306711 · live from the CMS NPI Registry
Behavioral Healthcare Northwest PC
Psychologist in Portland, OR. National Provider Identifier 1245306711, active.
NPI record
| NPI | 1245306711 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 10000 Se Main St, Ste 215, Portland, OR 97216 |
| Practice phone | 503-252-9690 |
| Enumerated | November 28, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | William Mullins, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.