Individual provider Active NPI

Simona Daniela Borza, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1730362088
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
200950102NP Issued in OR
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

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000954 OR Practitioner - Nurse Practitioner 8022153584 Reassigns benefits to 1 organization

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
A Healing Intention LLCGroup PAC ID 9335363126, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Carter Counseling & Consulting PC CurrentSince Apr 13, 2016 Accepting new patients
Serenity Lane CurrentSince Aug 18, 2024 Accepting new patients
Interventional and Vascular Consultants PC CurrentSince Nov 12, 2019 Accepting new patients
A Healing Intention, LLC CurrentSince Jul 1, 2025 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.

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

Verify at the official NPI Registry.