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

Pacific Mental Health Clinic LLC

Organization Clinical Social Worker · NPI 1699535195

Pacific Mental Health Clinic LLC is a Clinical Social Worker in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024
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

16323 SE Stark St Ste 102
Portland, OR 97233-3942
Phone: (503) 265-8922
Fax: (971) 420-2990
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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
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1699535195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kadra Mohamed — Owner · (206) 489-8775
NPI enumeratedMarch 21, 2024
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address16323 Se Stark St Ste 102, Portland, OR 97233-3942

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