Individual provider · Type 1 NPI
Kiel Justin Tatum
Mental Health Counselor · Portland, OR
NPI number
1609448521
Active
Practice location
5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Mailing address
PO Box 8459
Portland, OR 97207-8459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | R9212 (OR) |
Mental Health Counselor: Definition to come...
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Other mental health counselor providers in Portland
- Deanna Gold, M.A.Mental Health Counselor Portland, OR NPI 1003013327
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- Michael Peter Kender, MA, M.EDMental Health Counselor Portland, OR NPI 1003015090
- Lynn A. Fontana, L.M.F.T, PhDMental Health Counselor Portland, OR NPI 1003071721
- Donna M. Turquoise, QMHP-CMental Health Counselor Portland, OR NPI 1003103359
- Maryjane Wilt, LPCMental Health Counselor Portland, OR NPI 1003106881
- Jennifer D. Samsom, MAMental Health Counselor Portland, OR NPI 1003129115
- Lucrecia FariasMental Health Counselor Portland, OR NPI 1003173444
About NPI 1609448521
Kiel Justin Tatum's National Provider Identifier is 1609448521, issued on Jul 12, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 14, 2026.