Organization · Type 2 NPI
Phoenix Rising Therapy, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
NPI number
1235740929
Active
Practice location
4424 NE Glisan St Ste 22
Portland, OR 97213-2331
Fax (541) 735-9465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
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About NPI 1235740929
Phoenix Rising Therapy, LLC's National Provider Identifier is 1235740929, issued on Aug 14, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Portland, OR. The record was last updated on Oct 31, 2025.