Organization · Type 2 NPI

Mindful Path

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1942196886 Active

Practice location

1733 N Farragut St
Portland, OR 97217-6517

Call (503) 544-3680 Map

Fax (503) 343-6185

Mailing address

4784 N Lombard St Ste B1077
Portland, OR 97203-4565

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1942196886

Mindful Path's National Provider Identifier is 1942196886, issued on Jun 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Oct 12, 2025.