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OREGON CHANGE CLINIC, LLC
NPI 1881293215
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

Active since October 17, 2020
1312 SW WASHINGTON ST, PORTLAND, OR 97205(909) 455-4838 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2026, Aug 7, 2023, Nov 18, 2021 and 1 more (4 updates tracked since 2020).

About Oregon Change Clinic, Llc NPPES

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

OREGON CHANGE CLINIC, LLC (NPI 1881293215), doing business as Oregan Change Clinic, is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since October 2020. The organization lists Shannon Jones, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1881293215
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameOREGON CHANGE CLINIC, LLC
Location Address1312 SW WASHINGTON STPortland, OR 97205-2327
Mailing Address1817 Ne 6th AvenuePortland, OR 97212-3906 · (503) 719-7985 · Fax (503) 944-5262
Phone(909) 455-4838
Organization SubpartNo
Authorized OfficialShannon JonesOwner/ceo · (909) 455-4838
Enumeration DateOctober 17, 2020
Last NPPES UpdateMarch 6, 20264 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1881293215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1312 SW WASHINGTON ST, Portland, OR 97205
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Other Names 1

Doing Business AsOregan Change Clinic

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.

MS. HAYLEY MOORE
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
MR. JACOB PERRY MA
Counselor
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
RALEIGH CRONRATH
Student in an Organized Health Care Education/Training Program
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
NICOLE SWANSON LPN
Substance Abuse Rehabilitation Facility
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
MR. ANTHONY LAMBRICHTS HAUCK CACD II
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1191
MRS. LINDSEY T MOSLEY
Student in an Organized Health Care Education/Training Program
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
EDITH YVONNE ROBERTS REGISTERED NURSE
Registered Nurse
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
MARANDA RAE BRAMBORA CRM
Peer Specialist
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1186

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 Oregon Change Clinic, LLC's NPI number?

The NPI number for Oregon Change Clinic, LLC is 1881293215. It was assigned to this organization in the NPPES registry on October 17, 2020. The provider is doing business as Oregan Change Clinic.

Where is Oregon Change Clinic, LLC located?

Oregon Change Clinic, LLC is located at 1312 SW Washington St, Portland, OR 97205. The listed phone number is (909) 455-4838.

What is Oregon Change Clinic, 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 Oregon Change Clinic, LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.