LIFESTANCE HEALTH
NPI 1073056826
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Tualatin, OR

Active since November 28, 2016
18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 97062(503) 612-1000 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2024, Jun 14, 2023, Jun 14, 2021 (3 updates tracked since 2021).

  • Organization
  • Psychiatry & Neurology
  • Behavioral Neurology & Neuropsychiatry

About LIFESTANCE HEALTH

This page provides the complete NPI Profile along with additional information for Lifestance Health, a provider established in Tualatin, Oregon operating as a Psychiatry & Neurology, focusing in behavioral neurology & neuropsychiatry . The healthcare provider is registered in the NPI registry with number 1073056826 assigned on November 2016. The practitioner's primary taxonomy code is 2084B0040X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Lifestance Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lifestance Health. The authorized official of this NPI record is Ryan Pardo (Chief Legal Officer)

NPI
1073056826 Verify this NPI
Provider Legal Name
WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES LLC
Other Organization Name
LIFESTANCE HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
18765 SW BOONES FERRY RD STE 100 TUALATIN, OR 97062
Location Phone
(503) 612-1000
Mailing Address
4800 N SCOTTSDALE RD STE 2500 SCOTTSDALE, AZ 85251
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2016
Last Update Date
11-12-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry

Taxonomy Code
2084B0040X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
3101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
4101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
5103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
6103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
7103TF0200XBehavioral Health & Social Service Providers

Psychologist
Forensic

 
8104100000XBehavioral Health & Social Service Providers

Social Worker

 
91041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
10106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
11163WP0807XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health, Child & Adolescent

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RYAN PARDO

Authorized Official Title
CHIEF LEGAL OFFICER
Authorized Official Phone
(206) 399-1493

Reviews for LIFESTANCE HEALTH

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Counselor (Mental Health)
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Counselor (Professional)
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Technician
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Case Manager/Care Coordinator
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Technician
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Counselor (Professional)
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Technician
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Technician
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Social Worker (Clinical)
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Counselor (Professional)
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Technician
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062
Behavior Analyst
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073056826, enumerated as an "organization" on November 28, 2016.

The provider is located at 18765 SW BOONES FERRY RD STE 100 TUALATIN, OR 97062 and the phone number is (503) 612-1000.

Psychiatry & Neurology with taxonomy code 2084B0040X and a focus in Behavioral Neurology & Neuropsychiatry.