Individual provider · Type 1 NPI

Madison Lyan, QMHP LPC

Mental Health Counselor · Portland, OR

NPI number 1467064055 Active

Practice location

8311 SE 13th Ave Ste B3
Portland, OR 97202-7170

Call (971) 266-4461 Map

Fax (971) 386-1109

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC7287 (OR)
Professional Counselor 101YP2500XC7287 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1467064055

Madison Lyan, QMHP LPC's National Provider Identifier is 1467064055, issued on Aug 17, 2020. 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 14, 2026.