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

St Mary's Home for Boys

Organization Mental Health Counselor · NPI 1619057098

St Mary's Home for Boys is a Mental Health Counselor in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
11

Practice location Address checks out

16535 SW Tualatin Valley Hwy
Beaverton, OR 97006-5143
Phone: (503) 649-5651
Fax: (503) 649-7405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 891 (OR)
Mental Health Counselor Taxonomy 101YM0800X (OR)
Psychologist Taxonomy 103T00000X · Licence 891 (OR)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 891 (OR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 891 (OR)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 891 (OR)
Marriage & Family Therapist Taxonomy 106H00000X · Licence T0433 (OR)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 17887 (OR)
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X (OR)
Psychiatric Hospital Taxonomy 283Q00000X · Licence 17887 (OR)
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X (OR)

Record details

NPI number1619057098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Cole — Assistant Director · (503) 259-3201
NPI enumeratedOctober 17, 2006
Last updated in NPPESMay 7, 2013
Mailing address16535 Sw Tualatin Valley Hwy, Beaverton, OR 97006-5143

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