Organization Active NPI

Hope and Healing Trauma Center

  • Psychiatry Physician
  • Tigard, OR
National Provider Identifier
1033880091
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HOPE AND HEALING TRAUMA CENTER
Practice address
6975 SW Sandburg St Ste 200
Tigard, OR 97223-8089
Phone
(814) 243-0414
Fax
(814) 479-8113
NPI assigned
Sep 21, 2021
Last updated
Sep 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Longworth, LPC
Title
Owner/Provider
Phone
(814) 243-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

6975 SW Sandburg St Ste 200
Tigard, OR 97223-8089

Mailing address

6975 SW Sandburg St Ste 200
Tigard, OR 97223-8089
Phone (814) 243-0414

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL patricia@pmbilling.org Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1033880091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6975 SW SANDBURG ST STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238089",
            "telephone_number": "814-243-0414",
            "fax_number": "814-479-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 SW SANDBURG ST STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238089",
            "telephone_number": "814-243-0414",
            "fax_number": "814-479-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE AND HEALING TRAUMA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "LONGWORTH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "814-243-0414",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "patricia@pmbilling.org",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6975 SW Sandburg St",
            "address_2": "Suite 200",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.