# MINDMAP LLC

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

## Provider details

- **NPI number:** 1720491616
- **Authorized official:** MR. JOSEPH CHRISTENSEN M.A., LMFT, MAC (EXECUTIVE CLINICAL DIRECTOR)
- **Authorized official phone:** (503) 970-2522

## Contact information

- **Practice address:** 4003 NE GRAND AVE, PORTLAND, OR 97212-1109
- **Practice address phone:** (503) 970-2522
- **Practice address fax:** (503) 387-3253
- **Mailing address:** 19871 VIEW DR, WEST LINN, OR 97068-1347
- **Mailing address phone:** (503) 387-3253
- **Mailing address fax:** (503) 387-3253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 507580 | VA | — |
| 106H00000X | Marriage & Family Therapist | T0555 | OR | Yes |

## Other

- **Enumeration date:** 06/09/2014
- **Last updated:** 06/09/2014