PENNY PARK
NPI 1184458762
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since August 27, 2024
33 NW BROADWAY, PORTLAND, OR 97209(503) 228-7134 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Penny Park NPPES

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

PENNY PARK (NPI 1184458762) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (T-24-4334) and active in the NPI registry since August 2024. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1184458762
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePENNY PARK
Location Address33 NW BROADWAYPortland, OR 97209-3580
Mailing Address232 Nw 6th AvePortland, OR 97209-3609
Sole ProprietorNo
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
NPI 1184458762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · T-24-4334
33 NW BROADWAY, Portland, OR 97209

Secondary Practice Location 1

Location 15019 NE 102nd Ave Unit APortland, OR 97220-1199 · Phone (971) 383-1220

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.

Counselor (Mental Health)
33 NW BROADWAY
PORTLAND, OR 97209
Peer Specialist
33 NW BROADWAY
PORTLAND, OR 97209
Counselor (Addiction (Substance Use Disorder))
33 NW BROADWAY
PORTLAND, OR 97209
Social Worker (Clinical)
33 NW BROADWAY
PORTLAND, OR 97209
Counselor (Mental Health)
33 NW BROADWAY
PORTLAND, OR 97209
Counselor (Mental Health)
33 NW BROADWAY
PORTLAND, OR 97209
Registered Nurse
33 NW BROADWAY
PORTLAND, OR 97209
Counselor (Mental Health)
33 NW BROADWAY
PORTLAND, OR 97209

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 Penny Park's NPI number?

The NPI number for Penny Park is 1184458762. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Penny Park located?

Penny Park practices at 33 NW Broadway, Portland, OR 97209. The listed phone number is (503) 228-7134.

What is Penny Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Penny Park was last updated on August 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.