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CHRISTA BRENNAN LLC
NPI 1184310971
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

Active since April 13, 2023
819 SE TAYLOR ST, PORTLAND, OR 97214(732) 275-2979 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christa Brennan Llc NPPES

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

CHRISTA BRENNAN LLC (NPI 1184310971), doing business as Broken Bowl Llc, is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since April 2023. The organization lists Christa Brennan, Owner, as its authorized official.

NPPES Registry Identity

NPI1184310971
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCHRISTA BRENNAN LLC
Location Address819 SE TAYLOR STPortland, OR 97214-2385
Mailing Address5010 Se 41st Ave Apt 106Portland, OR 97202-4278 · (732) 275-2979
Phone(732) 275-2979
Organization SubpartYesParent: Broken Bowl Llc
Authorized OfficialChrista BrennanOwner · (732) 275-2979
Enumeration DateApril 13, 2023
NPPES CertifiedApril 13, 2023
✔ NPI 1184310971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
819 SE TAYLOR ST, Portland, OR 97214
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Other Names 1

Doing Business AsBroken Bowl Llc

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 Christa Brennan LLC's NPI number?

The NPI number for Christa Brennan LLC is 1184310971. It was assigned to this organization in the NPPES registry on April 13, 2023. The provider is doing business as Broken Bowl LLC.

Where is Christa Brennan LLC located?

Christa Brennan LLC is located at 819 SE Taylor St, Portland, OR 97214. The listed phone number is (732) 275-2979.

What is Christa Brennan LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Christa Brennan LLC was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.