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EDEN VIRGINA PARK QMHA
NPI 1316303357
Counselor - Mental Health in Wilsonville, OR

Active since January 06, 2016
29120 SW SAN REMO CT, WILSONVILLE, OR 97070(503) 682-1840(503) 682-1873 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2019, Dec 13, 2016, Feb 22, 2016 (3 updates tracked since 2016).

About Eden Virgina Park Qmha NPPES

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

EDEN VIRGINA PARK QMHA (NPI 1316303357) is an individual mental health provider in Wilsonville, Oregon and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1316303357
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEDEN VIRGINA PARKCredential: QMHA
Location Address29120 SW SAN REMO CTWilsonville, OR 97070-7373
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(503) 682-1840
Fax(503) 682-1873
Sole ProprietorNo
Enumeration DateJanuary 6, 2016
Last NPPES UpdateJune 12, 20193 updates tracked since enumeration
✔ NPI 1316303357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
29120 SW SAN REMO CT, Wilsonville, OR 97070
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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.

STEPHANIE BUSHBAUM
Counselor (Mental Health)
29120 SW SAN REMO CT
WILSONVILLE, OR 97070
Clackamas County (503) 682-1840
MADELYN ANNE NICKLOUS
Counselor (Mental Health)
29120 SW SAN REMO CT
WILSONVILLE, OR 97070
Clackamas County (503) 682-1840
ALESSANDRO EMMANUEL NEGRETE BAROCIO
Counselor (Mental Health)
29120 SW SAN REMO CT
WILSONVILLE, OR 97070
Clackamas County (503) 682-1840
ALONDRA SANCHEZ
Counselor (Mental Health)
29120 SW SAN REMO CT
WILSONVILLE, OR 97070
Clackamas County (503) 682-1840
JESSICA PIERCE
Counselor (Mental Health)
29120 SW SAN REMO CT
WILSONVILLE, OR 97070
Clackamas County (503) 682-1840
MADDISON TERRELL
Counselor (Mental Health)
29120 SW SAN REMO CT
WILSONVILLE, OR 97070
Clackamas County (503) 682-1840
SARA DENISE BOURDON
Counselor (Mental Health)
29120 SW SAN REMO CT
WILSONVILLE, OR 97070
Clackamas County (503) 682-1840
ANNIKA BOWLSBY MCBRIDE
Counselor (Mental Health)
29120 SW SAN REMO CT
WILSONVILLE, OR 97070
Clackamas County (541) 858-8170

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 Eden Park's NPI number?

The NPI number for Eden Park is 1316303357. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Eden Park located?

Eden Park practices at 29120 SW San Remo Ct, Wilsonville, OR 97070. The listed phone number is (503) 682-1840.

What is Eden Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Eden Park was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.