LIFE RENEWAL - SHEDD OUTPATIENT
NPI 1245784222
Community/Behavioral Health in Milwaukie, OR

Q: What is Teen Challenge International Pacific Northwest Centers's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since August 08, 2016

18600 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267(971) 255-0658 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2023, Apr 25, 2022, Nov 3, 2021 and 3 more (6 updates tracked since 2016).

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About Life Renewal - Shedd Outpatient NPPES

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

LIFE RENEWAL - SHEDD OUTPATIENT (NPI 1245784222) is a healthcare organization registered as a community/behavioral health in Milwaukie, Oregon and active in the NPI registry since August 2016. The organization maintains 12 additional practice locations and lists Brian Nelson, Coo, as its authorized official.

NPPES Registry Identity

NPI1245784222

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameTEEN CHALLENGE INTERNATIONAL PACIFIC NORTHWEST CENTERS

Location Address18600 SE MCLOUGHLIN BLVDMilwaukie, OR 97267-6723

Mailing Address18600 Se Mcloughlin BlvdMilwaukie, OR 97267-6723 · (971) 255-0658

Phone(971) 255-0658

Organization SubpartNo

Authorized OfficialBrian NelsonCoo · (971) 255-0658

Enumeration DateAugust 8, 2016

Last NPPES UpdateFebruary 28, 20246 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2024

✔ NPI 1245784222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

18600 SE MCLOUGHLIN BLVD, Milwaukie, OR 97267

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Other Names 2

Doing Business AsLife Renewal - Shedd Outpatient

Doing Business AsLife Renewal - Portland Outpatient

Secondary Practice Locations 12

Location 13815 S 7th St WMissoula, MT 59804-1915 · Phone (406) 540-7001 · Fax (971) 236-8080

Location 25351 King Ave WBillings, MT 59106-2821 · Phone (406) 272-7220 · Fax (971) 236-8080

Location 321115 92nd Ave E Ste AGraham, WA 98338-8088 · Phone (253) 846-0888

Location 418611 148th Ave SERenton, WA 98058-9312 · Phone (425) 226-2608 ext. 3380

Location 5380 NW 6th AveEstacada, OR 97023-7713 · Phone (503) 230-1910

Location 65040 SE 82nd AvePortland, OR 97266-4802 · Phone (503) 395-0435 · Fax (971) 236-8080

Location 731700 Fayetteville DrShedd, OR 97377-9779 · Phone (541) 491-1002 ext. 11002

Location 81600 N 20th Ave Ste APasco, WA 99301-3376 · Phone (509) 537-3025 · Fax (971) 236-8080

Location 92400 N Craig RdSpokane, WA 99224-9568 · Phone (509) 606-6563 · Fax (971) 236-8080

Location 10545 S Knik Goose Bay RdWasilla, AK 99654-8171 · Phone (907) 268-4686 · Fax (971) 236-8080

Location 11401 NE Burnside AveBend, OR 97701-5122 · Phone (541) 797-0098 · Fax (971) 236-8080

Location 12224 Martin StTwin Falls, ID 83301-4542 · Phone (208) 543-7230

Other Identifiers 4

Medicaid500711843OR

Medicaid90591MT

Medicaid1712386AK

Medicaid2173185WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 7

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

KENDALL ISAIAH TURRENTINE CADC-R

Counselor (Addiction (Substance Use Disorder))