Healthcare Provider Details

I. General information

NPI: 1528828852
Provider Name (Legal Business Name): SOMETHING HUMAN MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2024
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8835 SW CANYON LN STE 236
PORTLAND OR
97225-3452
US

IV. Provider business mailing address

8835 SW CANYON LN STE 236
PORTLAND OR
97225-3452
US

V. Phone/Fax

Practice location:
  • Phone: 971-500-5551
  • Fax: 833-672-2868
Mailing address:
  • Phone: 971-500-5551
  • Fax: 971-529-1747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RACHEL C WARD
Title or Position: MEDICAL DIRECTOR
Credential: PMHNP
Phone: 971-500-5551