BACK TO LIFE MENTAL HEALTH LLC
NPI 1932988763
Nurse Practitioner - Psychiatric/Mental Health in Tualatin, OR

Active since September 21, 2023
8215 SW TUALATIN-SHERWOOD RD, TUALATIN, OR 97062(503) 833-3778 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2023, Oct 26, 2023 (2 updates tracked since 2023).

About Back To Life Mental Health Llc NPPES

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

BACK TO LIFE MENTAL HEALTH LLC (NPI 1932988763), doing business as Back To Life Mental Health Pllc, is a healthcare organization registered as a psychiatric/mental health in Tualatin, Oregon and active in the NPI registry since September 2023. The organization lists Logan Eli Carton, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1932988763
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBACK TO LIFE MENTAL HEALTH LLC
Location Address8215 SW TUALATIN-SHERWOOD RDTualatin, OR 97062-8620
Mailing Address8215 Sw Tualatin-sherwood RdTualatin, OR 97062-8620 · (503) 833-3778
Organization SubpartNo
Authorized OfficialLogan Eli CartonManager/owner · (480) 353-7133
Enumeration DateSeptember 21, 2023
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2023
NPI 1932988763 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
8215 SW TUALATIN-SHERWOOD RD, Tualatin, OR 97062

Other Names 1

Former Legal Business NameBack To Life Mental Health Pllc

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

Other Providers at the Same Location NPPES

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

Massage Therapist
8215 SW TUALATIN-SHERWOOD RD, SUITE 200
TUALATIN, OR 97062

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 Back To Life Mental Health LLC's NPI number?

The NPI number for Back To Life Mental Health LLC is 1932988763. It was assigned to this organization in the NPPES registry on September 21, 2023. The provider was formerly known as Back To Life Mental Health PLLC.

Where is Back To Life Mental Health LLC located?

Back To Life Mental Health LLC is located at 8215 SW Tualatin-Sherwood Rd, Tualatin, OR 97062. The listed phone number is (503) 833-3778.

What is Back To Life Mental Health LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Back To Life Mental Health LLC was last updated on October 26, 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.