NPIMap

Organization Active NPI

Valuecore Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Canby, OR
National Provider Identifier
1093444622
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VALUECORE MENTAL HEALTH
Practice address
409 NW 2ND Ave Ste B
Canby, OR 97013-3517
Phone
(503) 266-1407
NPI assigned
Jun 8, 2022
Last updated
Jun 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Ryan Berg
Title
Business Manager
Phone
(503) 266-1407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

409 NW 2ND Ave Ste B
Canby, OR 97013-3517

Mailing address

409 NW 2ND Ave Ste B
Canby, OR 97013-3517

Other practice location 1

7105 SW Varns St Ste 270
Portland, OR 97223-8173
Phone (503) 389-1500

Other identifiers 1

IdentifierTypeStateIssuer
1831216779OtherORINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.valuecoremh.com Direct

National Provider Directory

National Provider Directory

Locations

409 NW 2nd Ave
Ste A
Canby, OR 97013
Phone (503) 389-1500

409 NW 2nd Ave
Ste B
Canby, OR 97013
Phone (503) 266-1407

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1093444622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 NW 2ND AVE STE B",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 NW 2ND AVE STE B",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133517",
            "telephone_number": "503-266-1407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7105 SW Varns St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972238173",
            "country_code": "US",
            "telephone_number": "503-389-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALUECORE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "503-266-1407"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1831216779",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.valuecoremh.com",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Contact Info",
            "address_1": "409 NW 2nd Ave Ste B",
            "city": "Canby",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970133517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.