Organization · Type 2 NPI

Sport Psychology Institute Northwest

Community/Behavioral Health Agency · Portland, OR

NPI number 1457667206 Active

Practice location

833 SW 11th Ave, Suite 925
Portland, OR 97205-2125

Call (866) 300-1515 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XC1433 (OR)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1457667206

Sport Psychology Institute Northwest's National Provider Identifier is 1457667206, issued on Aug 30, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Portland, OR. The record was last updated on Aug 30, 2010.