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

Mandala Mental and Behavioral Health, LLC

Organization Professional Counselor · NPI 1104333103

Mandala Mental and Behavioral Health, LLC is a Professional Counselor in Portland, Oregon. Works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2017
Specialties on file
3
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

650 NE Holladay St Ste 16001614
Portland, OR 97232-2045
Phone: (503) 367-3630
Fax: (503) 224-3126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 511 Sw 10th Ave Ste 601, Portland, OR 97205-2707 — (503) 367-3630
  • 650 Ne Holladay St Ste 16001614, Portland, OR 97232-2045 — (503) 367-3630

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C4036 (OR)
Clinical Social Worker Taxonomy 1041C0700X (OR)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence C4036 (OR)

Record details

NPI number1104333103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Gilbride — Director · (503) 367-3630
NPI enumeratedDecember 29, 2017
Last updated in NPPESJune 16, 2018
Mailing address650 Ne Holladay St Ste 1600, Portland, OR 97232-2035

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