Revamp Creative, LLC
NPI 1306523568 · Adult Mental Health Clinic/Center · Portland, OR
Revamp Creative, LLC is a Adult Mental Health Clinic/Center organization in Portland, OR (NPI 1306523568).
Provider details
- NPI number
- 1306523568
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Heidi Davisson, Licensed Professional Counselor(503) 929-7750
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
Ambulatory Health Care Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-06-29
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Frequently asked questions
- What is Revamp Creative, LLC's NPI number?
- Revamp Creative, LLC's National Provider Identifier (NPI) is 1306523568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revamp Creative, LLC?
- Revamp Creative, LLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revamp Creative, LLC located?
- Revamp Creative, LLC's practice location on file with NPPES is 4037 Ne Tillamook St, Portland, OR 97212-5341.
- What is Revamp Creative, LLC's phone number?
- The practice phone number listed in the NPPES registry for Revamp Creative, LLC is (503) 929-7750.
- Who is the authorized official for Revamp Creative, LLC?
- The authorized official listed on Revamp Creative, LLC's NPPES record is Heidi Davisson, Licensed Professional Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revamp Creative, LLC's NPI active?
- Yes — Revamp Creative, LLC's NPI (1306523568) is active in the NPPES registry as of the last update on 2025-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.