NPIMap

Organization Active NPI

Simona Borza Pmhnp, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tigard, OR
National Provider Identifier
1679933113
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
200950102NP Issued in OR
Legal business name
SIMONA BORZA PMHNP, LLC
Practice address
9600 SW Oak St
Suite 325
Tigard, OR 97223-6583
Phone
(503) 805-7895
Fax
(509) 935-5884
NPI assigned
Feb 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Simona Borza, PMHNP
Title
Owner
Phone
(503) 805-7895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 200950102NP OR Primary

Addresses

Primary practice location

9600 SW Oak St
Suite 325
Tigard, OR 97223-6583

Mailing address

9600 SW Oak St
Suite 325
Tigard, OR 97223-6583
Phone (503) 805-7895

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1679933113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 SW OAK ST",
            "address_2": "SUITE 325",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236583",
            "telephone_number": "503-805-7895",
            "fax_number": "509-935-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW OAK ST",
            "address_2": "SUITE 325",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236583",
            "telephone_number": "503-805-7895",
            "fax_number": "509-935-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONA BORZA PMHNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "BORZA",
        "authorized_official_first_name": "SIMONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-805-7895",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200950102NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.