Healthcare Provider Details

I. General information

NPI: 1700433299
Provider Name (Legal Business Name): TALKING TWENTIES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

0110 SW BANCROFT ST STE B
PORTLAND OR
97239-4062
US

IV. Provider business mailing address

0110 SW BANCROFT ST STE B
PORTLAND OR
97239-4062
US

V. Phone/Fax

Practice location:
  • Phone: 971-328-1565
  • Fax: 206-385-7376
Mailing address:
  • Phone: 971-328-1565
  • Fax: 206-385-7376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARISA BELL
Title or Position: OWNER
Credential: ARNP, PMHNP-BC
Phone: 971-328-1565