OrganizationActive
Impact Nw
NPI 1053624387 · Case Management Agency · Portland, OR
Impact Nw is a Case Management Agency organization in Portland, OR (NPI 1053624387).
Provider details
- NPI number
- 1053624387
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Amanda Adams, Ltk Project Coordinator(541) 227-8888
Specialties & taxonomies
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% 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.
Practice location
7211 Se 62nd Ave
Portland, OR 97206
Phone: (503) 721-6776
Fax: (971) 254-8969
Street-level locationGet directions
Mailing address
Po Box 33530
Portland, OR 97292-3530
Other names (DBA / former)
- Former legal business name
- Portland Impact, Inc
Registry dates
- Enumerated
- 2010-07-15
- Last updated
- 2017-08-17
Frequently asked questions
- What is Impact Nw's NPI number?
- Impact Nw's National Provider Identifier (NPI) is 1053624387, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Nw?
- Impact Nw is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Impact Nw located?
- Impact Nw's practice location on file with NPPES is 7211 Se 62nd Ave, Portland, OR 97206.
- What is Impact Nw's phone number?
- The practice phone number listed in the NPPES registry for Impact Nw is (503) 721-6776.
- Who is the authorized official for Impact Nw?
- The authorized official listed on Impact Nw's NPPES record is Amanda Adams, Ltk Project Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Nw's NPI active?
- Yes — Impact Nw's NPI (1053624387) is active in the NPPES registry as of the last update on 2017-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.