OrganizationActive
Portland Neurofeedback, LLC
NPI 1558875476 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1558875476
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gail Woung, Credentialing Coordinator(971) 940-2601
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 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
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
4035 Ne Sandy Blvd # 200
Portland, OR 97212-5331
Phone: (971) 940-2601
Fax: (971) 275-1534
Street-level locationGet directions
Mailing address
4035 Ne Sandy Blvd Ste 240
Portland, OR 97212-5331
Other names (DBA / former)
- Doing business as
- The Path Center
Registry dates
- Enumerated
- 2017-11-30
- Last updated
- 2022-11-01
- Certified
- 2022-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.