NPI Code Details Logo

NPI 1144111626

NPI 1144111626 : HOPE FOR THE JOURNEY : MCMINNVILLE, OR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1144111626
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HOPE FOR THE JOURNEY 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/11/2025
-----------------------------------------------------
    Last Update Date     |    07/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    117 NW 8TH ST 
-----------------------------------------------------
    City                 |    MCMINNVILLE
-----------------------------------------------------
    State                |    OR
-----------------------------------------------------
    Zip                  |    97128-5560
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    503-974-0997
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 933 
-----------------------------------------------------
    City                 |    MCMINNVILLE
-----------------------------------------------------
    State                |    OR
-----------------------------------------------------
    Zip                  |    97128-0933
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     STEPHANIE  TEAHN 
-----------------------------------------------------
    Credential           |    LCSW
-----------------------------------------------------
    Telephone            |    503-974-0997
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.