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ST MARY HEALTH
NPI 1720767254
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

Active since July 12, 2023
80 SE MADISON ST STE 242, PORTLAND, OR 97214(971) 242-4194 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2023, Oct 21, 2023, Aug 12, 2023 and 2 more (5 updates tracked since 2023).

About St Mary Health NPPES

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

ST MARY HEALTH (NPI 1720767254) is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since July 2023. The organization lists Susan Evans, Psy.d, as its authorized official.

NPPES Registry Identity

NPI1720767254
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameST MARY HEALTH LLC
Location Address80 SE MADISON ST STE 242Portland, OR 97214-4527
Mailing Address80 Se Madison St Ste 242Portland, OR 97214-4527 · (971) 242-4194
Phone(971) 242-4194
Organization SubpartNo
Authorized OfficialSusan EvansPsy.d · (971) 242-4194
Enumeration DateJuly 12, 2023
Last NPPES UpdateDecember 21, 20235 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
✔ NPI 1720767254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
80 SE MADISON ST STE 242, Portland, OR 97214
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Other Names 1

Doing Business AsSt Mary Health

Other Providers at the Same Location NPPES 5

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

REBECCA HALE WOOD
Counselor (Mental Health)
80 SE MADISON ST STE 242
PORTLAND, OR 97214
Multnomah County (503) 208-6009
DRIFTLINE COUNSELING LLC
Counselor (Mental Health)
80 SE MADISON ST STE 242
PORTLAND, OR 97214
Multnomah County (503) 208-6009
CLEMENT MUCYO
Peer Specialist
80 SE MADISON ST STE 242
PORTLAND, OR 97214
Multnomah County (240) 923-0453
OREGON COMMUNITY CARE LLC
Psychiatric Residential Treatment Facility
80 SE MADISON ST STE 242
PORTLAND, OR 97214
Multnomah County (443) 585-0187
MADELINE LOUISE KNAPP
Counselor (Mental Health)
80 SE MADISON ST STE 242
PORTLAND, OR 97214
Multnomah County (503) 208-6009

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 St Mary Health LLC's NPI number?

The NPI number for St Mary Health LLC is 1720767254. It was assigned to this organization in the NPPES registry on July 12, 2023. The provider is doing business as St Mary Health.

Where is St Mary Health LLC located?

St Mary Health LLC is located at 80 SE Madison St Ste 242, Portland, OR 97214. The listed phone number is (971) 242-4194.

What is St Mary Health 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 St Mary Health LLC was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.