Individual provider · Type 1 NPI

Kirk L. Caudle, QMHA, BA

Mental Health Counselor · Portland, OR

NPI number 1063706091 Active

Practice location

6449 SE 128th Ave
Portland, OR 97236-4652

Call (503) 726-3796 Map

Mailing address

10313 SW 69th Ave
Tigard, OR 97223-9103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1063706091

Kirk L. Caudle, QMHA, BA's National Provider Identifier is 1063706091, issued on Jun 7, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 7, 2011.