Organization Active NPI

Beth Bogdon LPC LLC

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1366995516
Registry record updated Jul 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C4160 Issued in OR
Legal business name
BETH BOGDON LPC LLC
Practice address
2225 NE MLK Jr Blvd
Ste 207
Portland, OR 97212-3727
Phone
(971) 284-7313
NPI assigned
Jul 24, 2016
Last updated
Jul 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2016

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

Authorized official

Name
Beth M Bogdon, LPC
Title
Mental Health Counselor
Phone
(971) 284-7313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C4160 OR Primary

Addresses

Primary practice location

2225 NE MLK Jr Blvd
Ste 207
Portland, OR 97212-3727

Mailing address

3406 N Willis Blvd
Portland, OR 97217-7264
Phone (971) 284-7313

National Provider Directory

National Provider Directory

Locations

2225 NE Mlk Jr Blvd
Ste 207
Portland, OR 97212
Phone (503) 490-1823

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1469318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469318400000",
    "number": "1366995516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 N WILLIS BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177264",
            "telephone_number": "971-284-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 NE MLK JR BLVD",
            "address_2": "STE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123727",
            "telephone_number": "971-284-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH BOGDON LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-24",
        "last_updated": "2016-07-24",
        "status": "A",
        "authorized_official_last_name": "BOGDON",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "971-284-7313",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "C4160",
            "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 Jul 24, 2016; 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.