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Active NPI 1972044790 Organization (Entity Type 2)

Building Resiliency Llc

Counselor - Professional • Gresham, OR

About Building Resiliency Llc NPI 1972044790 Summary

Building Resiliency Llc is a verified healthcare organization specializing in Counselor - Professional operating in Gresham, OR. Located at 510 NE ROBERTS AVE STE 310, this facility provides patient care and medical services under National Provider Identifier (NPI) 1972044790.

Administrative operations and authorized compliance are overseen by Desiree Stang (Registered Lpc Intern).

Facility Location & Contact Primary Location

Facility Address

510 Ne Roberts Ave Ste 310

Gresham, OR 970307485

Telephone 5039978863

Authorized Official Information

Authorized Contact Name

Desiree Stang , MA, CADC I, CCTP

Title / Role

Registered Lpc Intern

Official Telephone

5039978863

Facility Classifications & Specialties

Counselor - Professional Primary Taxonomy

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active March 27, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 27, 2017

Registered at 510 NE ROBERTS AVE STE 310, GRESHAM, OR 970307485 (Tel: 5039978863)

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Updated Business Mailing Address March 27, 2017

Registered at 2129 SE 176TH AVE, PORTLAND, OR 972335203 (Tel: 5039978863)

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Organization / Clinic Name Updated March 27, 2017

Operating as BUILDING RESILIENCY LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2017

Counselor (License #R4360 in OR)

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Initial NPI Registration & Enumeration March 13, 2017

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1972044790
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 13, 2017
Last Update: March 27, 2017

Mailing Address

2129 Se 176th Ave

Portland, OR 972335203

Phone: 5039978863

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.