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POWERED BY SELF LOVE OREGON LLC
NPI 1821730417
Nurse Practitioner - Psychiatric/Mental Health in Keizer, OR

Active since April 13, 2022
5305 RIVER RD N STE B1, KEIZER, OR 97303(657) 321-9765(229) 218-2667 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2022, May 2, 2022, Apr 13, 2022 (3 updates tracked since 2022).

About Powered By Self Love Oregon Llc NPPES

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

POWERED BY SELF LOVE OREGON LLC (NPI 1821730417) is a healthcare organization registered as a psychiatric/mental health in Keizer, Oregon and active in the NPI registry since April 2022. The organization lists Loan Pham, Founder, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821730417
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePOWERED BY SELF LOVE OREGON LLC
Location Address5305 RIVER RD N STE B1Keizer, OR 97303-5324
Mailing Address16027 Brookhurst St Ste I-732Fountain Valley, CA 92708-1551 · (657) 321-9765 · Fax (229) 218-2667
Phone(657) 321-9765
Fax(229) 218-2667
Organization SubpartNo
Authorized OfficialLoan PhamFounder, Ceo · (714) 880-5065
Enumeration DateApril 13, 2022
Last NPPES UpdateNovember 7, 20223 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1821730417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
5305 RIVER RD N STE B1, Keizer, OR 97303
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Other Names 1

Doing Business AsPowered By Self Love Oregon Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Powered By Self Love Oregon Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Powered By Self Love Oregon LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Loan Pham, DNP
Nurse Practitioner
NPI 1053440065
4505 PACIFIC HWY E STE C2
Fife, WA 98424
(714) 880-5065
✔ PECOS158 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Powered By Self Love Oregon LLC's NPI number?

The NPI number for Powered By Self Love Oregon LLC is 1821730417. It was assigned to this organization in the NPPES registry on April 13, 2022.

Where is Powered By Self Love Oregon LLC located?

Powered By Self Love Oregon LLC is located at 5305 River Rd N Ste B1, Keizer, OR 97303. The listed phone number is (657) 321-9765.

What is Powered By Self Love Oregon LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Powered By Self Love Oregon LLC enrolled in Medicare?

Yes. Powered By Self Love Oregon LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Powered By Self Love Oregon LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Powered By Self Love Oregon LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Powered By Self Love Oregon LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Powered By Self Love Oregon LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Powered By Self Love Oregon LLC was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.