Organization · Type 2 NPI

Oregon Change Clinic, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR

NPI number 1881293215 Active

Practice location

1312 SW Washington St
Portland, OR 97205-2327

Call (909) 455-4838 Map

Mailing address

1817 NE 6th Avenue
Portland, OR 97212-3906

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1881293215

Oregon Change Clinic, LLC's National Provider Identifier is 1881293215, issued on Oct 17, 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 Mar 6, 2026.