Active NPI
Evolve and Elevate, LLC
- Community/Behavioral Health Agency
- Portland, OR
National Provider Identifier
1316661010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EVOLVE AND ELEVATE, LLC
- Practice address
- 2000 NE 42ND Ave # 1085
Portland, OR 97213-1399 - Phone
- (971) 710-8287
- Fax
- (503) 821-7821
- NPI assigned
- Sep 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Torrey A Thille, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (971) 710-8287
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2000 NE 42ND Ave # 1085
Portland, OR 97213-1399
Mailing address
2093 NW Yucca Way
Redmond, OR 97756-8549
Phone (971) 710-8287
National Provider Directory
National Provider DirectoryLocations
2000 NE 42nd Ave
#1085
Portland, OR 97213
Phone (971) 710-8287
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Portland, OR
- NPI 1942611603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1316661010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2093 NW YUCCA WAY",
"city": "REDMOND",
"state": "OR",
"postal_code": "977568549",
"telephone_number": "971-710-8287",
"fax_number": "503-821-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NE 42ND AVE # 1085",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131399",
"telephone_number": "971-710-8287",
"fax_number": "503-821-7821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE AND ELEVATE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-27",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "THILLE",
"authorized_official_first_name": "TORREY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "971-710-8287",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Traci E Eveson
- Evgeny I Fedotov (north west clinical laboratory)
- Evoke Therapy LLC
- Evolution Healthcare, Rehab., & Fitness (Evolution Healthcare)
- Evolution Therapeutics LLC
- Evolve Wellness
- Evolving Self Integral Counseling, LLC (Evolving Self Integral Counseling)
- Collette Marie Evrard, NP
- Lawrence Raj Ewald
- Emma Ewel, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.