Individual provider · Type 1 NPI

Theresa Somrak

Mental Health Counselor · Portland, OR

NPI number 1124766324 Active

Practice location

4531 SE Belmont St Ste 117
Portland, OR 97215-1675

Call (503) 308-8684 Map

Fax (503) 919-2010

Mailing address

4110 SE Hawthorne Blvd # 328
Portland, OR 97214-5246

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC9517 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1124766324

Theresa Somrak's National Provider Identifier is 1124766324, issued on May 26, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 24, 2026.