Individual provider · Type 1 NPI

Amanda Kistner

Mental Health Counselor · Portland, OR

NPI number 1366277477 Active

Practice location

5415 SW Westgate Dr
Portland, OR 97221-2409

Call (503) 645-3581 Map

Mailing address

8915 SW Center St
Tigard, OR 97223-6307

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

171 other providers at this address

Other mental health counselor providers in Portland

See all in Portland →

About NPI 1366277477

Amanda Kistner's National Provider Identifier is 1366277477, issued on Sep 6, 2024. 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 30, 2026.