MISSION PSYCHIATRY
NPI 1003659590
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR

Active since June 13, 2024
1975 NW 167TH PL STE 100-11, BEAVERTON, OR 97006(971) 571-5012(971) 233-6448 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mission Psychiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSION PSYCHIATRY (NPI 1003659590) is a healthcare organization registered as a psychiatric/mental health in Beaverton, Oregon and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Gilbert and lists Derin Colvin, Owner, as its authorized official.

NPPES Registry Identity

NPI1003659590
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameJAGGER & CREW INTERNATIONAL LLC
Location Address1975 NW 167TH PL STE 100-11Beaverton, OR 97006-4908
Mailing Address1166 E Warner Rd Ste 101Gilbert, AZ 85296-3065
Fax(971) 233-6448
Organization SubpartNo
Authorized OfficialDerin ColvinOwner · (971) 571-5012
Enumeration DateJune 13, 2024
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
NPI 1003659590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1975 NW 167TH PL STE 100-11, Beaverton, OR 97006

Other Names 1

Doing Business AsMission Psychiatry

Secondary Practice Location 1

Location 11166 E Warner Rd Ste 101Gilbert, AZ 85296-3065 · Phone (602) 363-4574

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1975 NW 167TH PL STE 100-11
BEAVERTON, OR 97006
Specialist/Technologist
1975 NW 167TH PL STE 100-11
BEAVERTON, OR 97006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jagger & Crew International LLC's NPI number?

The NPI number for Jagger & Crew International LLC is 1003659590. It was assigned to this organization in the NPPES registry on June 13, 2024. The provider is doing business as Mission Psychiatry.

Where is Jagger & Crew International LLC located?

Jagger & Crew International LLC is located at 1975 NW 167th Pl Ste 100-11, Beaverton, OR 97006. The listed phone number is (971) 571-5012.

What is Jagger & Crew International LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Jagger & Crew International LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Jagger & Crew International LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jagger & Crew International LLC was last updated on October 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.