OrganizationActive
Impact Nw
NPI 1417495862 · Case Management Agency · Portland, OR
Provider details
- NPI number
- 1417495862
- 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(80/100 index)
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
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
7211 Se 62nd Ave
Portland, OR 97206-7564
Phone: (503) 489-7034
Street-level locationGet directions
Mailing address
Po Box 33530
Portland, OR 97292-3530
Additional practice locations (2)
- 355 Nw Division StGresham, OR 97030-5523Phone: (503) 674-3610Fax: (503) 674-3620
- 10305 E Burnside StPortland, OR 97216-2733Phone: (503) 988-6400Fax: (503) 988-6473
Registry dates
- Enumerated
- 2017-02-06
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.