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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MITALIBEN RAJENDRAKUMAR GOR NP, PMHNP
NPI 1114564630
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since December 03, 2019PECOS Enrolled
10260 SW GREENBURG RD FL 4, PORTLAND, OR 97223(646) 941-7645 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Dec 3, 2019 (2 updates tracked since 2019).

About Mitaliben Rajendrakumar Gor Np, Pmhnp NPPES

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

MITALIBEN RAJENDRAKUMAR GOR NP, PMHNP (NPI 1114564630) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201909528NP-PP) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Bay Area Hospital, and maintains a secondary practice location in Poway.

NPPES Registry Identity

NPI1114564630
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMITALIBEN RAJENDRAKUMAR GORCredential: NP, PMHNP
Location Address10260 SW GREENBURG RD FL 4Portland, OR 97223-5500
Mailing Address1900 Woodland DrCoos Bay, OR 97420-2099 · (541) 404-1414
Phone(646) 941-7645
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 3, 2019
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1114564630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OR · 201909528NP-PP✔ Licensed in CA · 95038778
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95038778 (CA), 201909528NP-PP (OR)
10260 SW GREENBURG RD FL 4, Portland, OR 97223
Open in Google Maps ↗

Secondary Practice Location 1

Location 115611 Pomerado Rd Ste 535Poway, CA 92064-2413 · Phone (858) 279-1223

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mitaliben Rajendrakumar Gor Np, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254766330
PECOS Enrollment IDI20200117001671
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
135 services99 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
87 services76 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
65 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
60 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services36 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

THVC SERVICES OF OR PC
Clinic/Center (Urgent Care)
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (865) 693-1000
XIAO ZHANG RDN
Dietitian, Registered
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (857) 294-3900
VIBRANT MENTAL WELLNESS LLC
Clinical Nurse Specialist (Psychiatric/Mental Health)
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (763) 568-6378
SARAH SHUTE LCSW, CADC III
Social Worker (Clinical)
10260 SW GREENBURG RD FL 4
TIGARD, OR 97223
Washington County (503) 298-5096
DEBDEEP NATH N.P.
Nurse Practitioner (Pediatrics)
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (971) 334-1381
OR MC SPROUT 1 LLC
Behavior Analyst
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (833) 991-7193
LW CARE LLC
In Home Supportive Care
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (915) 247-6129
MS. CAILEY M RODGERS BCBA
Behavior Analyst
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (833) 991-2368

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 Mitaliben Gor's NPI number?

The NPI number for Mitaliben Gor is 1114564630. It was assigned to this individual provider in the NPPES registry on December 3, 2019.

Where is Mitaliben Gor located?

Mitaliben Gor practices at 10260 SW Greenburg Rd Fl 4, Portland, OR 97223. The listed phone number is (646) 941-7645.

What is Mitaliben Gor's specialty?

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

Is Mitaliben Gor enrolled in Medicare?

Yes. Mitaliben Gor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mitaliben Gor accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mitaliben Gor 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.

Is Mitaliben Gor affiliated with any hospitals?

According to CMS data, Mitaliben Gor is affiliated with Bay Area Hospital.

When was this NPI record last updated?

The NPPES record for Mitaliben Gor was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.