Provider Demographics
NPI:1689263006
Name:CONNECTIONS PDX LLC
Entity Type:Organization
Organization Name:CONNECTIONS PDX LLC
Other - Org Name:CONNECTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER & CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:QMHP, LBA, BCBA
Authorized Official - Phone:971-287-7112
Mailing Address - Street 1:5200 MEADOWS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-0086
Mailing Address - Country:US
Mailing Address - Phone:971-287-7112
Mailing Address - Fax:503-386-3232
Practice Address - Street 1:5200 MEADOWS RD STE 200
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-0086
Practice Address - Country:US
Practice Address - Phone:971-287-7112
Practice Address - Fax:503-386-3232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health