Healthcare Provider Details
I. General information
NPI: 1881714061
Provider Name (Legal Business Name): 2 ROADS CROSSING HEALTHCARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15455 NW GREENBRIER PKWY SUITE 240
BEAVERTON OR
97006-8116
US
IV. Provider business mailing address
15455 NW GREENBRIER PKWY SUITE 240
BEAVERTON OR
97006-8116
US
V. Phone/Fax
- Phone: 503-617-0450
- Fax: 503-617-0475
- Phone: 503-617-0450
- Fax: 503-617-0475
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 1425 |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC00792 |
| License Number State | OR |
VIII. Authorized Official
Name: DR.
STEPHEN
DOUGLAS
SAEKS
Title or Position: PRESIDENT
Credential: PHD, LAC
Phone: 503-617-0450