FAMILY INSTITUTE, P.C. (NPI# 1225244304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225244304 |
| Entity Type | Organization |
| Organization Name | FAMILY INSTITUTE, P.C. |
| Practice Address |
4110 Pacific Ave Suite 202 Forest Grove OR 97116-2266 |
| Practice Telephone | 5033579548 |
| Practice Fax Number | 5033571158 |
| Mailing Telephone | 5033579548 |
| Mailing Fax Number | 5033571158 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT DAVIDSON (DIRECTOR) |
| Authorized Official Telephone | 5033579548 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FAMILY INSTITUTE, P.C. | 4110 Pacific Ave #102, Forest Grove, OR 97116 |
| Street Address |
4110 PACIFIC AVE SUITE 202 |
| City | FOREST GROVE |
| State | OR |
| Zip Code | 97116-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326139965 | Robert R. Davidson | Marriage & Family Therapist | 4110 Pacific Ave, Suite 202, Forest Grove, OR 97116-2266 | 2006-09-27 |
| 1568787687 | John Carl Crippen | Marriage & Family Therapist | 4110 Pacific Ave, Suite 102, Forest Grove, OR 97116-2266 | 2010-03-31 |
| 1922331891 | Dean Edward Williams | Counselor | 4110 Pacific Ave, Ste 102, Forest Grove, OR 97116-2383 | 2009-09-10 |
| 1669679783 | Brooke Miller | Social Worker | 4110 Pacific Ave, Suite 102, Forest Grove, OR 97116-2383 | 2007-07-02 |
| 1871663781 | Peggy S Casebeer | Registered Nurse | 4110 Pacific Ave, Ste.202, Forest Grove, OR 97116-2266 | 2006-11-08 |
| 1184708869 | Wendy Galambos | Counselor | 4110 Pacific Ave, Suite 202, Forest Grove, OR 97116-2266 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220988 | Jenny Park | Social Worker | 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 | 2019-11-22 |
| 1447742077 | Kimberly K Sabin | Doula | 1239 Goff Rd, Forest Grove, OR 97116 | 2018-05-30 |
| 1891205266 | Sonam Narayan | Optometrist | 2221 Pacific Avenue, Forest Grove, OR 97116 | 2017-10-11 |
| 1013260181 | Sharon Louise Benjamin | Nurse Practitioner | 2724 Harvest Ct, Forest Grove, OR 97116 | 2012-10-25 |
| 1336445535 | Shane Michael Peterson | Physical Therapist | 3300 19th Avenue, Forest Grove, OR 97116 | 2011-02-04 |
| 1023324415 | Kara Marie Cooper | Registered Nurse | 2221 Oak St, Forest Grove, OR 97116 | 2010-08-24 |
| 1811229792 | Rachel Lucinda Erin Dilly | Speech-Language Pathologist | 3300 19th Ave., Forest Grove, OR 97116 | 2010-02-03 |
| 1720286339 | Thuymai Anna Fee | Physical Therapist | Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 | 2007-07-05 |
| 1629102454 | Lois Elizabeth Yevdalcia Dimick | Massage Therapist | 2004 Main St, Suite 204, Forest Grove, OR 97116 | 2007-03-15 |
| 1023159936 | Ninette Kay Foster | Contractor | 2329 Pacific Ave., Forest Grove, OR 97116 | 2007-02-12 |
| Find all providers in zip 97116 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023429214 | Kaila Bentinck | Counselor | 1814 Ash St, Forest Grove, OR 97116-2458 | 2014-05-11 |
| 1780865568 | Timothy Joseph Zoebelein | Counselor | 1609 Elm St, Forest Grove, OR 97116-2503 | 2007-11-20 |
| 1396819785 | Ellen J Fiscus | Counselor | 2032 College Way, Forest Grove, OR 97116-1753 | 2006-11-20 |
| 1033221270 | Teresa Mouw | Counselor | 1401 Nichols Ln, Forest Grove, OR 97116-3207 | 2006-08-31 |
| 1497769830 | Theresa Marie Richters | Counselor | 1723 Elm St, Forest Grove, OR 97116-2519 | 2006-07-29 |
| 1235630997 | Gianfranco Mascia Betancourt | Counselor | 1715 Nichols Ln, Forest Grove, OR 97116 | 2018-02-27 |
| 1871037192 | Anastasia Cohen | Counselor | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2016-12-05 |
| 1942656988 | Sam Washburn | Counselor | 3305 19th Ave, Forest Grove, OR 97116-1909 | 2016-05-09 |
| 1780060590 | Rachel Lauren Bonnie | Counselor | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2015-08-04 |
| 1437434578 | Amy Laraine Thomsen | Counselor | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2011-10-20 |
| Find all providers in FOREST GROVE | ||||
| City | FOREST GROVE |
| Zip Code | 97116 |
Please comment or provide details below to improve the information on FAMILY INSTITUTE, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.