# MINDFUL OREGON CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427887744
- **Authorized official:** DR. SHIRIN YEKEKAR LCSW (CO-FOUNDER & CEO)
- **Authorized official phone:** (971) 270-0116

## Contact information

- **Practice address:** 1915 NE STUCKI AVE STE 308, HILLSBORO, OR 97006-6951
- **Practice address phone:** (971) 270-0116
- **Mailing address:** 1915 NE STUCKI AVE STE 308, HILLSBORO, OR 97006-6951
- **Mailing address phone:** (971) 325-7537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2024
- **Last updated:** 10/27/2024