GROUNDPDX
NPI 1962935312
Marriage & Family Therapist in Portland, OR

Active since April 04, 2017
4004 SE WOODSTOCK BLVD, #9, PORTLAND, OR 97202(503) 766-5255 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Groundpdx NPPES

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

GROUNDPDX (NPI 1962935312) is a healthcare organization registered as a marriage & family therapist in Portland, Oregon and active in the NPI registry since April 2017. The organization lists Mitchell Bacon, Owner, as its authorized official.

NPPES Registry Identity

NPI1962935312
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameMITCH BACON LLC
Location Address4004 SE WOODSTOCK BLVD, #9Portland, OR 97202-7662
Mailing Address7454 N Monteith AvePortland, OR 97203-4265
Organization SubpartNo
Authorized OfficialMitchell BaconOwner · (603) 667-3282
Enumeration DateApril 4, 2017
NPI 1962935312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in OR · T1282
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4004 SE WOODSTOCK BLVD, Portland, OR 97202

Other Names 1

Doing Business AsGroundpdx

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 19

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

Acupuncturist
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202
Counselor (Professional)
4004 SE WOODSTOCK BLVD, SUITE 3
PORTLAND, OR 97202
Social Worker (Clinical)
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202
Midwife
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202
Chiropractor
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202
Chiropractor
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202
Chiropractor
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202
Naturopath
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202

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 Mitch Bacon LLC's NPI number?

The NPI number for Mitch Bacon LLC is 1962935312. It was assigned to this organization in the NPPES registry on April 4, 2017. The provider is doing business as Groundpdx.

Where is Mitch Bacon LLC located?

Mitch Bacon LLC is located at 4004 SE Woodstock Blvd #9, Portland, OR 97202. The listed phone number is (503) 766-5255.

What is Mitch Bacon LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Mitch Bacon LLC was last updated on April 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.