Integrative Trauma Treatment Center, LLC
NPI 1417291212 · Clinical Social Worker · Portland, OR
Integrative Trauma Treatment Center, LLC is a Clinical Social Worker organization in Portland, OR (NPI 1417291212).
Provider details
- NPI number
- 1417291212
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Parent organization
- Integrative Trauma Treatment Center
- Organization subpart
- Yes
- Authorized official
- Athena Phillips, Owner(503) 819-4181
- License
- L4462 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Other names (DBA / former)
- Doing business as
- Vancouver Integrative Counseling
Registry dates
- Enumerated
- 2012-11-16
- Last updated
- 2015-11-30
Frequently asked questions
- What is Integrative Trauma Treatment Center, LLC's NPI number?
- Integrative Trauma Treatment Center, LLC's National Provider Identifier (NPI) is 1417291212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrative Trauma Treatment Center, LLC?
- Integrative Trauma Treatment Center, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Integrative Trauma Treatment Center, LLC located?
- Integrative Trauma Treatment Center, LLC's practice location on file with NPPES is 811 Nw 19th Ave Ste 102, Portland, OR 97209-1401.
- What is Integrative Trauma Treatment Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrative Trauma Treatment Center, LLC is (971) 266-6910.
- Who is the authorized official for Integrative Trauma Treatment Center, LLC?
- The authorized official listed on Integrative Trauma Treatment Center, LLC's NPPES record is Athena Phillips, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrative Trauma Treatment Center, LLC's NPI active?
- Yes — Integrative Trauma Treatment Center, LLC's NPI (1417291212) is active in the NPPES registry as of the last update on 2015-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.