1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Community Behavioral Health
  6. NPI Profile

WILD LILAC CHILD DEVELOPMENT COMMUNITY
NPI 1073804092
Community/Behavioral Health in Portland, OR

Active since April 25, 2011
1533 SE 32ND AVE, PORTLAND, OR 97214(503) 236-3240 Get Directions Write a Review

NPPES record last updated: April 25, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Wild Lilac Child Development Community NPPES

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

WILD LILAC CHILD DEVELOPMENT COMMUNITY (NPI 1073804092) is a healthcare organization registered as a community/behavioral health in Portland, Oregon and active in the NPI registry since April 2011. The organization lists Kate Statman-weil, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073804092
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWILD LILAC CHILD DEVELOPMENT COMMUNITY
Location Address1533 SE 32ND AVEPortland, OR 97214-5008
Mailing Address1533 Se 32nd AvePortland, OR 97214-5008
Phone(503) 236-3240
Organization SubpartNo
Authorized OfficialKate Statman-weilExecutive Director · (503) 236-3240
Enumeration DateApril 25, 2011
✔ NPI 1073804092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1533 SE 32ND AVE, Portland, OR 97214
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

NURTURING THERAPY LLC
Community/Behavioral Health
1533 SE 32ND AVE
PORTLAND, OR 97214
Multnomah County (503) 473-2081

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 Wild Lilac Child Development Community's NPI number?

The NPI number for Wild Lilac Child Development Community is 1073804092. It was assigned to this organization in the NPPES registry on April 25, 2011.

Where is Wild Lilac Child Development Community located?

Wild Lilac Child Development Community is located at 1533 SE 32nd Ave, Portland, OR 97214. The listed phone number is (503) 236-3240.

What is Wild Lilac Child Development Community'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 Wild Lilac Child Development Community was last updated on April 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.