OrganizationActive
Rustic Sage LLC
NPI 1861158610 · Clinical Social Worker · Portland, OR
Rustic Sage LLC is a Clinical Social Worker organization in Portland, OR (NPI 1861158610).
Provider details
- NPI number
- 1861158610
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Andre Pruitt, Owner(503) 860-1213
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 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
1220 Sw Morrison St Ste 730
Portland, OR 97205-2226
Phone: (503) 860-1213
Fax: (844) 889-4937
Street-level locationGet directions
Mailing address
Po Box 4162
Portland, OR 97208-4162
Other names (DBA / former)
- Doing business as
- Rustic Sage LLC
- Doing business as
- Rustic Sage LLC
Registry dates
- Enumerated
- 2021-11-16
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Frequently asked questions
- What is Rustic Sage LLC's NPI number?
- Rustic Sage LLC's National Provider Identifier (NPI) is 1861158610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rustic Sage LLC?
- Rustic Sage LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Rustic Sage LLC located?
- Rustic Sage LLC's practice location on file with NPPES is 1220 Sw Morrison St Ste 730, Portland, OR 97205-2226.
- What is Rustic Sage LLC's phone number?
- The practice phone number listed in the NPPES registry for Rustic Sage LLC is (503) 860-1213.
- Who is the authorized official for Rustic Sage LLC?
- The authorized official listed on Rustic Sage LLC's NPPES record is Andre Pruitt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rustic Sage LLC's NPI active?
- Yes — Rustic Sage LLC's NPI (1861158610) is active in the NPPES registry as of the last update on 2024-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.