NPIMap

Organization Active NPI

Portland State University Center for Student Health and Counseling

  • Student Health Clinic/Center
  • Portland, OR
National Provider Identifier
1215072228
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
261QS1000X Issued in OR
Legal business name
PORTLAND STATE UNIVERSITY CENTER FOR STUDENT HEALTH AND COUNSELING
Practice address
1880 SW 6TH Ave
Suite 200
Portland, OR 97201-5204
Phone
(503) 725-2800
Fax
(503) 725-5812
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Tara Gardner-Brown, FNP-CNPI 1508830571
Title
Director, Health Services
Phone
(503) 725-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 261QS1000X OR Primary

Addresses

Primary practice location

1880 SW 6TH Ave
Suite 200
Portland, OR 97201-5204

Mailing address

PO Box 751
Shac
Portland, OR 97207-0751
Phone (503) 725-2800

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0670417Portland State University, Center for1880 SW 6TH Ave, Ste 200, Portland, OR 97201Provider-performed microscopyFeb 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Addictions Treatment9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1880 SW 6th Ave
Ste 200
Portland, OR 97201
Phone (503) 725-2480

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1215072228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751",
            "address_2": "SHAC",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972070751",
            "telephone_number": "503-725-2800",
            "fax_number": "503-725-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 SW 6TH AVE",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015204",
            "telephone_number": "503-725-2800",
            "fax_number": "503-725-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND STATE UNIVERSITY CENTER FOR STUDENT HEALTH AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "GARDNER-BROWN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "DIRECTOR, HEALTH SERVICES",
        "authorized_official_telephone_number": "503-725-2800",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "OR",
            "license": "261QS1000X",
            "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 Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.