Organization Active NPI

Mens Resource Center

Doing business as Men's Resource Center/Women's Counseling Center

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1689781460
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENS RESOURCE CENTER
Doing business as
Men's Resource Center/Women's Counseling Center
Practice address
12 SE 14TH Ave
Portland, OR 97214
Phone
(503) 235-3433
Fax
(503) 235-4762
NPI assigned
Aug 25, 2006
Last updated
Nov 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Mr. Paul Patrick Lee, L.C.S.W.NPI 1003126772
Title
Co-Director
Phone
(503) 235-3433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

12 SE 14TH Ave
Portland, OR 97214

Mailing address

12 SE 14TH Ave
Portland, OR 97214
Phone (503) 235-3433

Other names 1

  • Men's Resource Center/Women's Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

12 SE 14th Ave
Portland, OR 97214
Phone (503) 235-3433

Practitioners & affiliated clinicians

Practitioners 2

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1689781460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SE 14TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214",
            "telephone_number": "503-235-3433",
            "fax_number": "503-235-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SE 14TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214",
            "telephone_number": "503-235-3433",
            "fax_number": "503-235-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENS RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "503-235-3433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Men's Resource Center/Women's Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 8, 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.