Organization
ST MARY'S HOME FOR BOYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL COLE (ASSISTANT DIRECTOR)
(503) 259-3201
Entity
Organization
Contact information
Practice address
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-5143
(503) 649-5651
(503) 649-7405
Mailing address
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-5143
(503) 649-5651
(503) 649-7405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
103T00000X
Psychologist
891
OR
103TB0200X
Cognitive & Behavioral Psychologist
891
OR
103TC0700X
Clinical Psychologist
891
OR
103TC1900X
Counseling Psychologist
Primary
891
OR
103TC2200X
Clinical Child & Adolescent Psychologist
891
OR
106H00000X
Marriage & Family Therapist
T0433
OR
2084P0804X
Child & Adolescent Psychiatry Physician
17887
OR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
OR
283Q00000X
Psychiatric Hospital
17887
OR
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210855
—
OR
Enumeration date
10/17/2006
Last updated
05/07/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up