HEATHER GREENE LLC
NPI 1215463518
Community/Behavioral Health in Beaverton, OR

Active since May 04, 2017
12555 SW 1ST ST, BEAVERTON, OR 97005(971) 724-7393 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather Greene Llc NPPES

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

HEATHER GREENE LLC (NPI 1215463518) is a healthcare organization registered as a community/behavioral health in Beaverton, Oregon and active in the NPI registry since May 2017. The organization lists Heather Greene, Owner, as its authorized official.

NPPES Registry Identity

NPI1215463518
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameHEATHER GREENE LLC
Location Address12555 SW 1ST STBeaverton, OR 97005-0546
Mailing Address18005 Sw Ewen DrBeaverton, OR 97003-3818 · (971) 724-7393
Organization SubpartNo
Authorized OfficialHeather GreeneOwner · (971) 724-7393
Enumeration DateMay 4, 2017
NPI 1215463518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in OR · L4691
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.
12555 SW 1ST ST, Beaverton, OR 97005

Other Identifiers 1

Medicaid1912204546OR

Other Providers at the Same Location NPPES 9

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

Massage Therapist
12555 SW 1ST ST
BEAVERTON, OR 97005
Counselor (Professional)
12555 SW 1ST ST
BEAVERTON, OR 97005
Massage Therapist
12555 SW 1ST ST
BEAVERTON, OR 97005
Social Worker (Clinical)
12555 SW 1ST ST
BEAVERTON, OR 97005
Counselor (Addiction (Substance Use Disorder))
12555 SW 1ST ST
BEAVERTON, OR 97005
Specialist
12555 SW 1ST ST
BEAVERTON, OR 97005
Specialist
12555 SW 1ST ST
BEAVERTON, OR 97005
Acupuncturist
12555 SW 1ST ST
BEAVERTON, OR 97005

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 Heather Greene LLC's NPI number?

The NPI number for Heather Greene LLC is 1215463518. It was assigned to this organization in the NPPES registry on May 4, 2017.

Where is Heather Greene LLC located?

Heather Greene LLC is located at 12555 SW 1st St, Beaverton, OR 97005. The listed phone number is (971) 724-7393.

What is Heather Greene LLC'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 Heather Greene LLC was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.