OrganizationActive
Mandala Mental and Behavioral Health, LLC
NPI 1104333103 · Professional Counselor · Portland, OR
Provider details
- NPI number
- 1104333103
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Daniel Gilbride, Director(503) 367-3630
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Agencies
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
650 Ne Holladay St Ste 16001614
Portland, OR 97232-2045
Phone: (503) 367-3630
Fax: (503) 224-3126
Street-level locationGet directions
Mailing address
650 Ne Holladay St Ste 1600
Portland, OR 97232-2035
Additional practice locations (2)
- 511 Sw 10th Ave Ste 601Portland, OR 97205-2707Phone: (503) 367-3630Fax: (503) 224-3126
- 650 Ne Holladay St Ste 16001614Portland, OR 97232-2045Phone: (503) 367-3630Fax: (503) 224-3126
Registry dates
- Enumerated
- 2017-12-29
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.