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GOSHEN LAND CLINIC LLC
NPI 1053199588
Community/Behavioral Health in Portland, OR

Active since September 18, 2023
2005 SE 82ND AVE STE 6, PORTLAND, OR 97216(971) 266-4184 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goshen Land Clinic Llc NPPES

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

GOSHEN LAND CLINIC LLC (NPI 1053199588) is a healthcare organization registered as a community/behavioral health in Portland, Oregon and active in the NPI registry since September 2023. The organization lists Stephen Iwuozo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053199588
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGOSHEN LAND CLINIC LLC
Location Address2005 SE 82ND AVE STE 6Portland, OR 97216-1453
Mailing Address2005 Se 82nd Ave Ste 6Portland, OR 97216-1453
Phone(971) 266-4184
Organization SubpartNo
Authorized OfficialStephen IwuozoAdministrator · (615) 761-6810
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 16, 2023
✔ NPI 1053199588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
2005 SE 82ND AVE STE 6, Portland, OR 97216
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Other Providers at the Same Location NPPES

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

HEAL BRIDGE WELLNESS CENTER LLC
Community/Behavioral Health
2005 SE 82ND AVE STE 6
PORTLAND, OR 97216
Multnomah County (817) 677-0750

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 Goshen Land Clinic LLC's NPI number?

The NPI number for Goshen Land Clinic LLC is 1053199588. It was assigned to this organization in the NPPES registry on September 18, 2023.

Where is Goshen Land Clinic LLC located?

Goshen Land Clinic LLC is located at 2005 SE 82nd Ave Ste 6, Portland, OR 97216. The listed phone number is (971) 266-4184.

What is Goshen Land Clinic LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Goshen Land Clinic LLC was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.