Individual provider · Type 1 NPI
Kanapathy - Suppaiah, RN, PMHNP
Mental Health Counselor · Portland, OR
NPI number
1497971014
Active
Practice location
2301 NW Thurman St Ste A
Portland, OR 97210-2581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 079043086N6 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1497971014
Kanapathy - Suppaiah, RN, PMHNP's National Provider Identifier is 1497971014, issued on Apr 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.