Teen Challenge International Pacific Northwest Centers
NPI 1245784222 · Community/Behavioral Health Agency · Milwaukie, OR
Provider details
- NPI number
- 1245784222
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Brian Nelson, Coo(971) 255-0658
Specialties & taxonomies
Agencies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
13 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
Mailing address
Other names (DBA / former)
- Doing business as
- Life Renewal - Portland Outpatient
- Doing business as
- Life Renewal - Shedd Outpatient
Additional practice locations (12)
- 545 S Knik Goose Bay RdWasilla, AK 99654-8171Phone: (907) 268-4686Fax: (971) 236-8080
- 224 Martin StTwin Falls, ID 83301-4542Phone: (208) 543-7230
- 5351 King Ave WBillings, MT 59106-2821Phone: (406) 272-7220Fax: (971) 236-8080
- 3815 S 7th St WMissoula, MT 59804-1915Phone: (406) 540-7001Fax: (971) 236-8080
- 401 Ne Burnside AveBend, OR 97701-5122Phone: (541) 797-0098Fax: (971) 236-8080
- 380 Nw 6th AveEstacada, OR 97023-7713Phone: (503) 230-1910
- 5040 Se 82nd AvePortland, OR 97266-4802Phone: (503) 395-0435Fax: (971) 236-8080
- 31700 Fayetteville DrShedd, OR 97377-9779Phone: (541) 491-1002
Registry dates
- Enumerated
- 2016-08-08
- Last updated
- 2024-02-28
- Certified
- 2024-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.