Organization · NPI-2

Black Men & Women In Training

Nurse Practitioner, Psych/Mental Health · Portland, OR

NPI number1932060555

StatusActive

Last updated in NPPESFeb 20, 2026

Details

NPI: 1932060555
Entity type: Organization (NPI-2)
Legal business name: Black Men & Women In Training
Organization subpart: Yes
Enumeration date: Nov 21, 2025
Certification date: Feb 20, 2026
Last updated: Feb 20, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–	Yes
172M00000X	Mechanotherapist	–	–
261QP2300X	Clinic/Center, Primary Care	–	–
111N00000X	Chiropractor	–	–
363LP2300X	Nurse Practitioner, Primary Care	–	–
101YM0800X	Counselor, Mental Health	–	–
261QM1300X	Clinic/Center, Multi-Specialty	–	–
363LF0000X	Nurse Practitioner, Family	–	–

Practice location

8401 Ne Halsey St Ste 206
Portland, OR 97220-5670

Phone 503-724-3725 · Fax 503-297-2937

Mailing address

8401 Ne Halsey St Ste 206
Portland, OR 97220-5670

Phone 503-724-3725 · Fax 503-297-2937

Authorized official

Stephanie White
Ceo
5037243725

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