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

Revamp Creative, LLC

Organization Mental Health Counselor · NPI 1306523568

Revamp Creative, LLC is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
7
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

4037 NE Tillamook St
Portland, OR 97212-5341
Phone: (503) 929-7750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Mental Health Counselor Taxonomy 101YM0800X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1306523568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heidi Davisson — Licensed Professional Counselor · (503) 929-7750
NPI enumeratedJune 29, 2023
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address63 Ne Thompson St, Portland, OR 97212-3741

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