PNW Counseling Alliance LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PNW COUNSELING ALLIANCE LLC

Practice address

1107 7TH St
Oregon City, OR 97045-2407

Phone

(971) 389-7218

Fax

(503) 386-2587

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Garrett Taylor Bachman, LCSWNPI 1760869523

Title

Owner

Phone

(971) 389-7218

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Garrett Taylor Bachman, LCSW

  • Clinical Social Worker
  • Oregon City, OR
  • NPI 1760869523
  NPD (past) Authorized official

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1275287666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 7TH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452407",
            "telephone_number": "971-389-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 7TH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452407",
            "telephone_number": "971-389-7218",
            "fax_number": "503-386-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNW COUNSELING ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "BACHMAN",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-389-7218",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.