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

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1952996076

Sacred Psychiatry, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, Oregon. Registered with an NPI since 2021.

In the registry since
2021
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

1717 NE 42nd Ave Ste 100E
Portland, OR 97213-1569
Phone: (503) 498-6455
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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
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1952996076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roosevelt Lewis — Owner · (503) 498-6455
NPI enumeratedMarch 2, 2021
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021
Mailing address1717 Ne 42nd Ave Ste 100e, Portland, OR 97213-1569

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