NPIMap

Organization Active NPI

Portland Relationship Institute

Doing business as Counseling Services of Portland

  • Mental Health Counselor
  • Tigard, OR
National Provider Identifier
1942619655
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3583 Issued in OR
Legal business name
PORTLAND RELATIONSHIP INSTITUTE
Doing business as
Counseling Services of Portland
Practice address
7100 SW Hampton St
Suite 223
Tigard, OR 97223
Phone
(503) 342-2510
Fax
(503) 406-2637
NPI assigned
Aug 6, 2014
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Mrs. Christine B McCulloch
Title
Co-Owner
Phone
(503) 342-2510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3583 OR Primary

Addresses

Primary practice location

7100 SW Hampton St
Suite 223
Tigard, OR 97223

Mailing address

7100 SW Hampton St
Suite 223
Tigard, OR 97223
Phone (503) 342-2510

Other names 1

  • Counseling Services of Portland Doing business as

National Provider Directory

National Provider Directory

Locations

7100 SW Hampton St
Ste 128
Tigard, OR 97223
Phone (503) 342-2510

7100 SW Hampton St
Ste 223
Tigard, OR 97223
Phone (503) 342-2510

Practitioners & affiliated clinicians

Practitioners 12

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": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1942619655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 SW HAMPTON ST",
            "address_2": "SUITE 223",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-342-2510",
            "fax_number": "503-406-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SW HAMPTON ST",
            "address_2": "SUITE 223",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-342-2510",
            "fax_number": "503-406-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND RELATIONSHIP INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "MCCULLOCH",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "503-342-2510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "3583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Services of Portland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Counseling Services of Portland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.