Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Body Therapy Center, LLC

Organization Clinical Social Worker · NPI 1699449637

Mind Body Therapy Center, LLC provides Clinical Social Worker services in Portland, Oregon. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2857 SE Pine St
Portland, OR 97214-1837
Phone: (503) 567-2225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1699449637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Lyman — Executive Director · (503) 567-2225
NPI enumeratedAugust 3, 2021
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing address2857 Se Pine St, Portland, OR 97214-1837

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