OrganizationActive
Radical Healing Psychotherapy, LLC
NPI 1710868443 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1710868443
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Marilyn Stephens, Owner(971) 330-0612
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5020 Ne Martin Luther King Blvd
Portland, OR 97211-3204
Phone: (971) 330-0612
Street-level locationGet directions
Mailing address
15200 Sw Sparrow Loop Unit 102
Beaverton, OR 97007-9358
Registry dates
- Enumerated
- 2025-09-09
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.