Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Spiral Tide Therapy LLC

Organization Clinical Social Worker · NPI 1528983087

Spiral Tide Therapy LLC provides Clinical Social Worker services in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026
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

5134 SW Custer St
Portland, OR 97219-1482
Phone: (360) 961-0203
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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

Record details

NPI number1528983087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Langille — Owner · (360) 961-0203
NPI enumeratedAugust 12, 2026
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026
Mailing addressPo Box 19192, Portland, OR 97280-0192

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