Individual provider · Type 1 NPI

Jamie Kidd

Mental Health Counselor · Tigard, OR

NPI number 1194534792 Active

Practice location

11740 SW 68th Pkwy Ste 200
Tigard, OR 97223-9058

Call (503) 389-0532 Map

Mailing address

5664 NW 183rd Ave Apt A
Portland, OR 97229-3504

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR9464 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1194534792

Jamie Kidd's National Provider Identifier is 1194534792, issued on Jan 7, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on May 26, 2026.