Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Basic Mindfulness Portland, LLC

Organization Clinical Psychologist · NPI 1902128804

Basic Mindfulness Portland, LLC is a Clinical Psychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1920 NW Johnson St Ste 103
Portland, OR 97209-1325
Phone: (503) 719-5499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1978 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4220 (OR)

Record details

NPI number1902128804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Sims — Co-Owner · (503) 719-5499
NPI enumeratedFebruary 18, 2010
Last updated in NPPESFebruary 18, 2010
Mailing address1920 Nw Johnson St, Suite 103, Portland, OR 97209-1325

Other providers in Portland