Individual provider Active NPI

Olubunmi Aborisade, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1689379364
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10018285 Issued in OR
Practice address
11740 SW 68TH Pkwy Ste 200
Portland, OR 97223-9058
Phone
(971) 506-4939
NPI assigned
Apr 3, 2023
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03230699 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023062816 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10018285 OR Primary

Addresses

Primary practice location

11740 SW 68TH Pkwy Ste 200
Portland, OR 97223-9058

Mailing address

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Other practice location 1

23015 Fm 529 Rd
Ste 200 PMB1066
Katy, TX 77493-5065
Phone (661) 862-9370

Other names 1

  • Bunmi Aborisade Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240724002892 WA Practitioner - Nurse Practitioner 9335685569 Reassigns benefits to 1 organization
I20250703002332 OR Practitioner - Nurse Practitioner 9335685569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

11740 SW 68TH Pkwy
Suite 200
Tigard, OR 97223-9058
Phone (971) 352-6984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03230699TXMDFamily Nurse Practitioner
2023062816TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careplus Psychiatric Services Inc Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Mindful Therapy Group PC Single Specialty CurrentSince Sep 23, 2025 Accepting new patients

Locations

401 NE 19th Ave
Ste 200
Portland, OR 97232
Phone (206) 554-1900

5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100

11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216

2805 Foster Ave
Ste 207
Nashville, TN 37210
Phone (206) 554-1900

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

748 Market St
Ste 58
Tacoma, WA 98402
Phone (206) 554-1900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1689379364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE R",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 SW 68TH PKWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239058",
            "telephone_number": "971-506-4939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23015 Fm 529 Rd",
            "address_2": "Ste 200 PMB1066",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774935065",
            "country_code": "US",
            "telephone_number": "661-862-9370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABORISADE",
        "first_name": "OLUBUNMI",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F03230699",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2023062816",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10018285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BUNMI",
            "last_name": "ABORISADE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.