Organization · Type 2 NPI

Brainoptimal NW

Mental Health Counselor · Portland, OR

NPI number 1295632313 Active

Practice location

10260 Southwest Greenburg Road, Suite 400 Office 426
Portland, OR 97223-5514

Call (503) 804-3815 Map

Mailing address

10260 SW Greenburg Rd Ste 400
Tigard, OR 97223-5514

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295632313

Brainoptimal NW's National Provider Identifier is 1295632313, issued on Oct 22, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 22, 2026.