Organization
MINDFUL PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORRI REKART (OWNER)
(503) 544-3680
Entity
Organization
Contact information
Practice address
1733 N FARRAGUT ST, PORTLAND, OR 97217-6517
(503) 544-3680
(503) 343-6185
Mailing address
4784 N LOMBARD ST STE B1077, PORTLAND, OR 97203-4565
(971) 357-2061
(971) 357-2561
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
10/12/2025
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