REWORK BEHAVIORAL THERAPY, LLC (NPI# 1619599545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619599545 |
| Entity Type | Organization |
| Organization Name | REWORK BEHAVIORAL THERAPY, LLC |
| Practice Address |
7724 Se Aspen Summit Dr Ste 300 Portland OR 97266-9217 |
| Practice Telephone | 5037320273 |
| Mailing Telephone | 5037320273 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | WESLEY COX (OWNER/OPERATIONS) |
| Authorized Official Telephone | 5037320273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | REWORK BEHAVIORAL THERAPY, LLC | 4355 Riverview Ave, Unit 6, West Linn, OR 97068 |
| Street Address |
7724 SE ASPEN SUMMIT DR STE 300 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-9217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033740204 | Cascade Therapy Center, LLC | Clinic/Center | 4531 Se Belmont St Ste 106, Portland, OR 97215-1675 | 2020-01-28 |
| 1801177902 | Cascade Counseling and Assessment | Clinic/Center | 516 Se Morrison St Ste 705, Portland, OR 97214-2347 | 2011-09-01 |
| 1346244902 | Serendipity Center Inc | Clinic/Center | 14815 Se Division St, Portland, OR 97236-2336 | 2005-06-10 |
| 1194376079 | Noah Krell Psychotherapy, LLC | Clinic/Center | 57 Exchange St Ste 203, Portland, ME 04101-5000 | 2019-09-23 |
| 1790206837 | Sarabeth Casey Counseling | Clinic/Center | 8555 Sw Apple Way, Portland, OR 97225-1774 | 2017-06-29 |
| 1043677198 | Anjuli Shah-johnson | Clinic/Center | 1611 Ne 16th Ave, Portland, OR 97232-1413 | 2016-01-20 |
| 1912377193 | Pacific University | Clinic/Center | 1411 Sw Morrison St, Sutie 310, Portland, OR 97205-1945 | 2015-10-01 |
| 1457763443 | Northwest Family Mental Health Services LLC | Clinic/Center | 1675 Sw Marlow Ave, Suite 303, Portland, OR 97225-5104 | 2014-05-23 |
| 1932454352 | Katherine K. Ryan, Phd, LLC | Clinic/Center | 251 Woodford St, Portland, ME 04103-5617 | 2012-07-23 |
| 1194927319 | Loretta Seibert | Clinic/Center | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2007-06-01 |
| Find all providers in PORTLAND | ||||
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| 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.