# NORTHWEST INSTITUTE FOR PSYCHOTHERAPY AND SEXUALITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NWIPS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962239194
- **Authorized official:** MRS. COLLEEN QUIGLEY (OWNER)
- **Authorized official phone:** (929) 262-0704

## Contact information

- **Practice address:** 2355 STATE ST, SALEM, OR 97301-4541
- **Practice address phone:** (248) 765-4985
- **Mailing address:** PO BOX 18151, PORTLAND, OR 97218-0151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2024
- **Last updated:** 09/19/2024