Individual provider · Type 1 NPI
Tristan Kaczmarek
Professional Counselor · Beaverton, OR
NPI number
1316879554
Active
Practice location
10700 SW Beaverton Hillsdale Hwy Ste 546
Beaverton, OR 97005-4739
Mailing address
6875 SW Nyberg St Apt L104
Tualatin, OR 97062-8245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1316879554
Tristan Kaczmarek's National Provider Identifier is 1316879554, issued on Jun 2, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beaverton, OR. The record was last updated on Jun 2, 2026.