Organization Active NPI

Portland Therapy Solutions, LLC

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1083029250
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0936 Issued in OR
Legal business name
PORTLAND THERAPY SOLUTIONS, LLC
Practice address
6536 SE Duke St
Portland, OR 97206
Phone
(503) 995-4422
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Anna Miller, LMFT
Title
Member
Phone
(503) 995-4422

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X L4588 OR
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X T0936 OR Primary

Addresses

Primary practice location

6536 SE Duke St
Portland, OR 97206

Mailing address

PO Box 2411
Tualatin, OR 97062
Phone (503) 995-4422

National Provider Directory

National Provider Directory

Locations

6536 SE Duke St
Portland, OR 97206
Phone (503) 208-5536

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1083029250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2411",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "97062",
            "telephone_number": "503-995-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 SE DUKE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97206",
            "telephone_number": "503-995-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-995-4422",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4588",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.