Portland Lifestyle Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4763 Issued in OR

Legal business name

PORTLAND LIFESTYLE COUNSELING, LLC

Practice address

4605 NE Fremont St
#210C
Portland, OR 97213-1707

Phone

(503) 309-1163

Fax

(503) 331-1591

NPI assigned

Jan 26, 2011

Last updated

Jan 26, 2011By 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

Margaret J Young, LCSWNPI 1588856637

Title

Licensed Clinical Social Worker

Phone

(503) 309-1163

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, and the practitioner matching its NPPES authorized official.

• Margaret Joy Young, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1588856637
  Authorized official Same address or phone

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1427354273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 NE SANDY BLVD",
            "address_2": "#232",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321959",
            "telephone_number": "503-335-3853",
            "fax_number": "503-331-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 NE FREMONT ST",
            "address_2": "#210C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131707",
            "telephone_number": "503-309-1163",
            "fax_number": "503-331-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND LIFESTYLE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "503-309-1163",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Integrative Counseling Center (Integrative Counseling in Portland)
• Portland Internal Medicine Offices of James V. Skavaril MD LLC
• Portland Iop, LLC (Klean Gresham)
• Portland Iop, LLC
• Portland Joint Reconstruction Clinic, P.C.
• Portland Massage and Chiropractic Services LLC
• Portland Massage Arts LLC
• Portland Massage LLC
• Portland Medical Diagnostic Center Inc
• Portland Medical Imaging LLC

• Clinical Social Worker in Portland, OR
• Providers in Portland, 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 Jan 26, 2011; 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.