Precision Mental Performance LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))

Address: 308 Nw 11th Ave Ste 201, Portland, OR 97209-2980
Phone: 5033791902

Precision Mental Performance LLC (NPI# 1316569502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1316569502
Entity Type Organization
Organization Name PRECISION MENTAL PERFORMANCE LLC
Practice Address 308 Nw 11th Ave Ste 201
Portland
OR 97209-2980
Practice Telephone 5033791902
Mailing Address 189 Liberty St Ne Ste 204
Salem
OR 97301-0205
Mailing Telephone 3609986593
Authorized Official Name Lawrence K Robbins (GENERAL MANAGER)
Authorized Official Telephone 5033791902
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name PRECISION MENTAL PERFORMANCE LLC
Enumeration Date 2020-05-11
Last Update Date 2020-05-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0801X Clinic/Center · Mental Health (Including Community Mental Health Center) Ambulatory Health Care Facilities

Other Provider Identifier

State Identifier Issuer Type Code
OR 500754977 MEDICAID

Other Provider/Organization Names

Other Name Type Code
NeuStart Psychiatry Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1780166116 Precision Mental Performance LLC Clinic/Center 189 Liberty St Ne Suite #204, Salem, OR 97301 2018-09-01

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1598228579 Christensen Counseling, LLC Clinic/Center 6420 Sw Macadam Avenue, Suite 390, Portland, OR 97239-9723 2019-04-08
1700358314 Nikki Wetherell Counseling Clinic/Center 19 South St Ste 6, Portland, ME 04101-3963 2018-12-20
1427545961 Value Creation Counseling Clinic/Center 2028 Se Marion St Apt 11, Portland, OR 97202-7365 2018-04-19
1982140588 Columbiacare Services Clinic/Center 17720 Ne Halsey St # 1, Portland, OR 97230-6734 2017-01-06
1194104026 Coastal Plains Community Mhmr Center Clinic/Center 200 Marriott Drive, Portland, TX 78374-2213 2015-05-26
1841618253 Sellwood Counseling Services Clinic/Center 6637 Se Milwaukie Ave, Ste. 204, Portland, OR 97202-5658 2014-04-02
1245378546 De Paul Treatment Centers, Inc. Clinic/Center 1320 Sw Washington St, Portland, OR 97205-2327 2007-02-01
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Find all providers in PORTLAND

Office Location

Street Address 308 NW 11TH AVE STE 201
City PORTLAND
State OR
Zip Code 97209-2980

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
1699141424 Marena Passarelli Counselor 1977 Nw Overton St Ste D, Portland, OR 97209 2015-08-16
Find all providers in zip 97209

Competitor

Search similar providers

City PORTLAND
Zip Code 97209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.