Active NPI
Simona Daniela Borza, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 200950102NP
- Practice address
- 12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687 - Phone
- (503) 303-0304
- Fax
- (503) 465-5901
- NPI assigned
- Dec 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 200743305RN | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 200950102NP | OR | Primary |
Addresses
Primary practice location
12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687
Mailing address
12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687
Phone (503) 303-0304
Other practice location 1
9600 SW Oak St
Ste 325
Tigard, OR 97223-6588
Phone (503) 206-5578
Other practice location 2
1 Serenity Ln
Coburg, OR 97408-9350
Phone (541) 687-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Oregon Health Sciences University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12655 SW Ctr St
Suite 320
Beaverton, OR 97005-1624
Phone (503) 303-0304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carter Counseling & Consulting PC | Current | Accepting new patients | |
| Serenity Lane | Current | Accepting new patients | |
| Interventional and Vascular Consultants PC | Current | Accepting new patients | |
| A Healing Intention, LLC | Current | Accepting new patients |
Locations
12655 SW Center St
Ste 320
Beaverton, OR 97005
Phone (503) 303-0304
12725 SW Millikan Way
Ste 300
Beaverton, OR 97005
Phone (503) 303-0304
1 Serenity Ln
Eugene, OR 97408
Phone (541) 284-5704
2701 NW Vaughn St
Ste 325
Portland, OR 97210
Phone (503) 610-6563
9600 SW Oak St
Ste 325
Tigard, OR 97223
Phone (503) 206-5578
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Beaverton, OR
- NPI 1104236819
-
- Clinical Psychologist
- Tigard, OR
- NPI 1639539976
-
- Vascular & Interventional Radiology Physician
- Wilsonville, OR
- NPI 1770889388
-
- Substance Abuse Rehabilitation Facility
- Coburg, OR
- NPI 1467283069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1730362088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12725 SW MILLIKAN WAY STE 300",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051687",
"telephone_number": "503-303-0304",
"fax_number": "503-465-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12725 SW MILLIKAN WAY STE 300",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051687",
"telephone_number": "503-303-0304",
"fax_number": "503-465-5901"
}
],
"practiceLocations": [
{
"address_1": "9600 SW OAK ST",
"address_2": "STE 325",
"address_purpose": "LOCATION",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236588",
"country_code": "US",
"telephone_number": "503-206-5578",
"fax_number": "503-935-5884",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Serenity Ln",
"address_purpose": "LOCATION",
"city": "Coburg",
"state": "OR",
"postal_code": "974089350",
"country_code": "US",
"telephone_number": "541-687-1110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORZA",
"first_name": "SIMONA",
"middle_name": "DANIELA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-10",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OR",
"license": "200743305RN",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "200950102NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.