OrganizationActive
Powered By Self Love Oregon LLC
NPI 1821730417 · Psychiatric/Mental Health Nurse Practitioner · Keizer, OR
Provider details
- NPI number
- 1821730417
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Loan Pham, Founder, Ceo(714) 880-5065
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
5305 River Rd N Ste B1
Keizer, OR 97303-5324
Phone: (657) 321-9765
Fax: (229) 218-2667
Street-level locationGet directions
Mailing address
16027 Brookhurst St Ste I-732
Fountain Valley, CA 92708-1551
Other names (DBA / former)
- Doing business as
- Powered By Self Love Oregon LLC
Registry dates
- Enumerated
- 2022-04-13
- Last updated
- 2022-11-07
- Certified
- 2022-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.