Mindwell Northwest LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDWELL NORTHWEST LLC

Practice address

10260 SW Greenburg Rd Ste 400
Portland, OR 97223-5514

Phone

(503) 896-1673

NPI assigned

Jul 8, 2026

Last updated

Jul 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Christian Gray, DNP, PMHNP

Title

Owner

Phone

(503) 610-0566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1306764196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235514",
            "telephone_number": "503-610-0566",
            "fax_number": "503-379-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235514",
            "telephone_number": "503-896-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWELL NORTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-610-0566",
        "authorized_official_credential": "DNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.