OrganizationActive
Potentials, LLC
NPI 1710173802 · Community/Behavioral Health Agency · Astoria, OR
Provider details
- NPI number
- 1710173802
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dana Dedolph, Director/Therapist(503) 325-2398
- License
- C1489 (OR)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
100 39th St Pier 39
Astoria, OR 97103-2499
Phone: (503) 325-2398
Fax: (503) 325-5932
Street-level locationGet directions
Mailing address
100 39th St Pier 39
Astoria, OR 97103-2499
Registry dates
- Enumerated
- 2007-09-21
- Last updated
- 2007-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.