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St Mary'S Home for Boys

Counseling Psychologist in Beaverton, OR · enumerated 2006 · authorized official Michael Cole, Assistant Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619057098

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Registry record

Entity type Organization (Type 2)
Legal business name St Mary'S Home for Boys
Practice address 16535 Sw Tualatin Valley Hwy, Beaverton, OR, 97006
Phone (503) 649-5651
Fax (503) 649-7405
Enumeration date Oct 17, 2006
Last updated in NPPES May 7, 2013

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers · License 891 (OR) Secondary
103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers · License 891 (OR) Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 891 (OR) Secondary
103TC1900X Counseling Psychologist Behavioral Health & Social Service Providers · License 891 (OR) Primary
103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers · License 891 (OR) Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers · License T0433 (OR) Secondary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians · License 17887 (OR) Secondary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
283Q00000X Psychiatric Hospital Hospitals · License 17887 (OR) Secondary
322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities Secondary

Authorized official

Name Michael Cole
Title Assistant Director
Phone (503) 259-3201

Other identifiers

Identifier Type State Issuer
210855 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is St Mary'S Home for Boys located?
The practice location on file with NPPES is in Beaverton, OR.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-05-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-07.