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: August 16, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.