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

Oregon Change Clinic, LLC

Organization Clinic/Center · NPI 1881293215

Oregon Change Clinic, LLC is a Clinic/Center in Portland, Oregon. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
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

1312 SW Washington St
Portland, OR 97205-2327
Phone: (909) 455-4838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Clinic/Center Taxonomy 261Q00000X
Community Health Clinic/Center Taxonomy 261QC1500X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1881293215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Jones — Owner/Ceo · (909) 455-4838
Other names Oregan Change Clinic
NPI enumeratedOctober 17, 2020
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address1817 Ne 6th Avenue, Portland, OR 97212-3906

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