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

Imagine Life Counseling and Consultation, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1407306913

Imagine Life Counseling and Consultation, LLC is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2325 E Burnside St Ste 202
Portland, OR 97214-1655
Phone: (503) 701-2294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L4576 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 11-06-94 (OR)

Record details

NPI number1407306913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deah Partak — Owner / Therapist · (503) 701-2294
NPI enumeratedOctober 7, 2016
Last updated in NPPESOctober 7, 2016
Mailing address2325 E Burnside St, Suite 202, Portland, OR 97214-1655

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