OrganizationActive
Mitch Bacon LLC
NPI 1962935312 · Marriage & Family Therapist · Portland, OR
Provider details
- NPI number
- 1962935312
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mitchell Bacon, Owner(603) 667-3282
- License
- T1282 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
4004 Se Woodstock Blvd
#9
Portland, OR 97202-7662
Phone: (503) 766-5255
Street-level locationGet directions
Mailing address
7454 N Monteith Ave
Portland, OR 97203-4265
Other names (DBA / former)
- Doing business as
- Groundpdx
Registry dates
- Enumerated
- 2017-04-04
- Last updated
- 2017-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.