Individual provider Active NPI

Taylor Lavender, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1952936494
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202203582NP-PP Issued in OR
Practice address
1815 SW Marlow Ave Ste 218
Portland, OR 97225-5187
Phone
(503) 944-5000
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202203582NP-PP OR Primary

Addresses

Primary practice location

1815 SW Marlow Ave Ste 218
Portland, OR 97225-5187

Mailing address

1815 SW Marlow Ave Ste 218
Portland, OR 97225-5187
Phone (503) 941-0794

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
I20221031002746 OR Practitioner - Nurse Practitioner 1052740370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ubh of Oregon LLCGroup PAC ID 4981772639, 20 clinicians

Practice addresses (Care Compare)

10300 SW Eastridge St
Portland, OR 97225-5004
Phone (503) 944-5000

Merit-based Incentive Payment System (MIPS)

Final score
89.57 of 100Reported as group
Quality
77.16
Improvement activities
40
Cost
90.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CAPN0003600CNCOMDPsychiatric/Mental Health Nurse Practitioner
4704359553MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ubh of Oregon, LLC CurrentSince Aug 22, 2022 Accepting new patients
Life Balance Northwest, LLC Past Accepting new patients
Ubh of Oregon, LLC Past Accepting new patients

Locations

1815 SW Marlow Ave
Ste 218
Portland, OR 97225
Phone (503) 444-4862

10300 SW Eastridge St
Portland, OR 97225
Phone (503) 944-5000

1321 Tandem Ave NE
Ste 200
Salem, OR 97301
Phone (971) 433-3033

Organizations & group practices 3

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952936494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SW MARLOW AVE STE 218",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255187",
            "telephone_number": "503-941-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SW MARLOW AVE STE 218",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255187",
            "telephone_number": "503-944-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "TAYLOR",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202203582NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.