Behavioral Healthcare Northwest PC
Psychologist in Portland, OR. Organization (NPI-2).
NPI number1245306711
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1245306711
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavioral Healthcare Northwest PC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
10000 Se Main StSte 215
Portland, OR 97216-2442
Phone 503-252-9690 · Fax 503-252-2720
Mailing address
10000 Se Main StSte 215
Portland, OR 97216-2442
Phone 503-252-9690 · Fax 503-252-2720
Authorized official
William Hurley Mullins
President
5032529690
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