Individual provider · Type 1 NPI

Alexandra Ryan Mattingly, QMHA-R

Mental Health Counselor · Portland, OR

NPI number 1518740232 Active

Practice location

12360 E Burnside St
Portland, OR 97233-1042

Call (971) 279-4800 Map

Fax (971) 279-2051

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Other practice locations

  • 620 NE 2nd St, Gresham, OR 97030-7514 · (971) 274-3757

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X23-QMHA-R-4281 (OR)

Mental Health Counselor: Definition to come...

88 other providers at this address

Other mental health counselor providers in Portland

See all in Portland →

About NPI 1518740232

Alexandra Ryan Mattingly, QMHA-R's National Provider Identifier is 1518740232, issued on Aug 16, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 6, 2026.