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NPI 1780124412

OrganizationActive

The Equi Institute

NPI 1780124412 · Prevention Professional · Portland, OR

Provider details

NPI number: 1780124412
Entity type: Organization
Primary specialty: Prevention ProfessionalOther Service Providers
Authorized official: Angela Carter, Director
License: AC174171 (OR)

Practice location

4115 N Mississippi Ave

Portland, OR 97217-3130

Phone: (503) 459-2584

Fax: (503) 719-8244

More OR providers

Mailing address

4115 N Mississippi Ave

Portland, OR 97217-3130

Registry dates

Enumerated: 2017-02-28
Last updated: 2017-02-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

The Equi Institute — NPI 1780124412, Portland, OR | NPI Central