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

Individual provider Family Nurse Practitioner · NPI 1114564630

Mitaliben Rajendrakumar Gor, NP, PMHNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2019, 7 years ago. Practices with North Bend Medical Center Inc, a 91-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
7
Licensed in
CA, OR
In the registry since
2019
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

10260 SW Greenburg Rd Fl 4
Portland, OR 97223-5500
Phone: (646) 941-7645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15611 Pomerado Rd Ste 535, Poway, CA 92064-2413 — (858) 279-1223

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 201909528NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95038778 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 95038778 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 201909528NP-PP (OR)

Record details

NPI number1114564630
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP , PMHNP
Sole proprietorYes
NPI enumeratedDecember 3, 2019
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Bend Medical Center Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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