Organization Active NPI

Queer Expressions LLC

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1841045903
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
QUEER EXPRESSIONS LLC
Practice address
3620 SE Powell Blvd Ste 102
Portland, OR 97202-1880
Phone
(503) 908-9435
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Lee M Lynch, LMFT
Title
Owner
Phone
(503) 908-9435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3620 SE Powell Blvd Ste 102
Portland, OR 97202-1880

Mailing address

3620 SE Powell Blvd Ste 102
Portland, OR 97202-1880

Other practice location 1

650 NE Holladay St Ste 1600
Portland, OR 97232-2035
Phone (510) 680-3545

Other identifiers 2

IdentifierTypeStateIssuer
1376956086OtherCAINDIVIDUAL
1245590884OtherCAINDIVIDUAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1841045903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 SE POWELL BLVD STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 SE POWELL BLVD STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021880",
            "telephone_number": "503-908-9435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 NE Holladay St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322035",
            "country_code": "US",
            "telephone_number": "510-680-3545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUEER EXPRESSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-908-9435",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1376956086",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1245590884",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 22, 2024; 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.