Individual provider · Type 1 NPI

Aidan Stickles

Mental Health Counselor · Portland, OR

NPI number 1104799436 Active

Practice location

2375 NW Glisan St
Portland, OR 97210-3420

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104799436

Aidan Stickles's National Provider Identifier is 1104799436, issued on Sep 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 24, 2025.