What is Staley Mims's NPI number?

Staley Mims's National Provider Identifier (NPI) is 1023155207, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Staley Mims's specialty?

Staley Mims is listed in the NPPES registry with a primary specialty of Adult Companion (Nursing Service Related Providers).

Where is Staley Mims located?

Staley Mims's practice location on file with NPPES is 2330 Ne Siskiyou St, Portland, OR 97212-2471.

What is Staley Mims's phone number?

The practice phone number listed in the NPPES registry for Staley Mims is (503) 528-0757.

Is Staley Mims's NPI active?

Yes — Staley Mims's NPI (1023155207) is active in the NPPES registry as of the last update on 2025-09-11.

IndividualActive

Staley Mims, QMHP MED

NPI 1023155207 · Adult Companion · Portland, OR

Staley Mims, QMHP MED is a Adult Companion provider in Portland, OR (NPI 1023155207).

Provider details

NPI number: 1023155207
Entity type: Individual
Primary specialty: Adult CompanionNursing Service Related Providers
Credential: QMHP MED
Sex: Male
Sole proprietor: Yes

Practice location

2330 Ne Siskiyou St

Portland, OR 97212-2471

Phone: (503) 528-0757

Fax: (503) 528-0764

Street-level locationGet directions

More OR providers

Mailing address

3602 Se 28th Pl Apt 15

Portland, OR 97202-3070

Specialties & taxonomies

Adult CompanionPrimary372600000X
Nursing Service Related Providers
Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(84/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2007-01-30
Last updated: 2025-09-11

Frequently asked questions

What is Staley Mims's NPI number?: Staley Mims's National Provider Identifier (NPI) is 1023155207, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Staley Mims's specialty?: Staley Mims is listed in the NPPES registry with a primary specialty of Adult Companion (Nursing Service Related Providers).
Where is Staley Mims located?: Staley Mims's practice location on file with NPPES is 2330 Ne Siskiyou St, Portland, OR 97212-2471.
What is Staley Mims's phone number?: The practice phone number listed in the NPPES registry for Staley Mims is (503) 528-0757.
Is Staley Mims's NPI active?: Yes — Staley Mims's NPI (1023155207) is active in the NPPES registry as of the last update on 2025-09-11.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions