NORTHWEST FORENSIC INSTITUTE (NPI# 1982295549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982295549 |
| Entity Type | Organization |
| Organization Name | NORTHWEST FORENSIC INSTITUTE |
| Practice Address | 520 Sw Yamhill St Ste 428 Portland OR 97204-1327 |
| Practice Telephone | 5039469036 |
| Practice Fax Number | 5032001328 |
| Mailing Address | 520 Sw Yamhill St Ste 428 Portland OR 97204-1327 |
| Mailing Telephone | 5039469036 |
| Mailing Fax Number | 5032001328 |
| Certification Date | 2021-01-27 |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |
| Authorized Official Telephone | 5039469036 |
| Authorized Official Credential | PHD ABPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 261QM0850X | Clinic/Center Specialization: Adult Mental Health | Ambulatory Health Care Facilities |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Direct Messaging Address | records@nwforensic.org (Records exchange email) | 520 Sw Yamhill St Ste 428, Portland, OR 972041327 |
| Street Address | 520 SW YAMHILL ST STE 428 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. · Viemed | Respiratory Therapist, Registered · Home Health | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile · Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor · Mental Health | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-Cohen Enterprises LLC · Acupuncture & Diagnostics Center | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner · Family | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor · Mental Health | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor · Mental Health | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275123762 | Spectrum Counseling LLC | 709 Sw 16th Ave Unit 206, Portland, OR 97205-1833 | 2021-01-19 | |
| 1851999841 | Laura Gottfried Lcsw Inc. | 145 Newbury St Ste 2, Portland, ME 04101-4261 | 2020-10-13 | |
| 1720685696 | Pragmatic Healing LLC | 3930 Sw Plum St Apt 1, Portland, OR 97219-6046 | 2020-10-05 | |
| 1467086215 | Deborah Ann Jewell | 5627 Ne Simpson St, Portland, OR 97218-2329 | 2020-03-01 | |
| 1174023808 | Blake Locher Counseling, LLC | 1020 Sw Taylor St Ste 449, Portland, OR 97205-2556 | 2018-02-19 | |
| 1134633100 | Paul Myers, Ph.d., LLC | 5441 Sw Macadam Ave Ste 104, Portland, OR 97239-3821 | 2017-11-28 | |
| 1891206785 | Janz Consulting · Janz Consulting | 1020 Sw Taylor St Ste 635, Portland, OR 97205-2524 | 2017-10-18 | |
| 1467979914 | Awakened Heart Pdx, LLC | 322 Nw 5th Ave Ste 308, Portland, OR 97209-3851 | 2017-08-25 | |
| 1669739389 | Casco Bay Medical Pllc | 371 Fore St, 201, Portland, ME 04101-5112 | 2012-04-19 | |
| 1306132220 | Patricia Camplair, Phd PC | 1020 Sw Taylor St Ste 720, Portland, OR 97205-2512 | 2011-06-20 | |
| Find all providers in PORTLAND | ||||
| City | PORTLAND |
| Zip Code | 97204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760810931 | Blue Rock Institute, A Psychological Corporation · San Francisco Forensic Institute | Community/Behavioral Health | 870 Market St Ste 1107, San Francisco, CA 94102-2920 | 2013-10-24 |
| 1386860856 | Clinical & Forensic Institute | Psychologist · Clinical | 4801 S University Dr, Suite 301-East, Davie, FL 33328-3839 | 2007-04-17 |
| 1609949551 | Northwest Vision Institute, Pllc · Northwest Laser and Surgery Center | Clinic/Center · Ambulatory Surgical | 12301 Ne 10th Pl, Suite 103, Bellevue, WA 98005-2487 | 2006-11-16 |
| 1407454382 | Research Institute for Forensic Neuropsychology · Rifn Clinic | Clinic/Center | 1851 Washtenaw Rd, Ypsilanti, MI 48197-1702 | 2020-10-13 |
| 1619091519 | Christian Counseling and Psychological Services, Inc · Atlanta Forensic & Mental Health Institute | Psychologist | 2910 Horizon Park Dr Ste A, Suwanee, GA 30024-7256 | 2007-03-17 |
| 1235182064 | Medical Associates of Northwest Arkansas · Northwest Arkansas Neuroscience Institute | Pain Medicine · Pain Medicine | 3336 N Futrall Dr, Fayetteville, AR 72703-4057 | 2006-05-19 |
| 1235261637 | Colorado Mental Health Institute Pueblo · Forensic Under 21 | Pharmacy · Long Term Care Pharmacy | 1600 W 24th St, Pueblo, CO 81003-1411 | 2007-03-12 |
| 1316161029 | Northwest Rehabilitation Institute · N.w. Rehabilitation Institute & Physical Therapy | Clinic/Center · Physical Therapy | 4421 Ne St Johns Rd, Vancouver, WA 98661-2573 | 2007-04-12 |
| 1417970393 | Carolina Forensic Psychiatry LLC · Carolina Forensic Psychiatry LLC | Specialist | 410 S Herlong Ave, Suite 105, Rock Hill, SC 29732-8350 | 2006-07-25 |
| 1316487259 | Gregory I. Mack, Ph.d.:clinical, Police & Forensic Psych Svs Pllc · Clinical, Police & Forensic Psychological Services Pllc | Psychologist · Addiction (Substance Use Disorder) | 345 Kear St, Suite 202, Yorktown Heights, NY 10598-4425 | 2017-02-25 |
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| 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.