Individual provider · Type 1 NPI

Marytianna Galo, QHMA-R

Counselor · Portland, OR

NPI number 1639074149 Active

Practice location

211 SE Caruthers St
Portland, OR 97214-4502

Call (971) 217-9008 Map

Fax (971) 260-0355

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X26-QMHA-R-9354 (OR)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1639074149

Marytianna Galo, QHMA-R's National Provider Identifier is 1639074149, issued on Oct 13, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Oct 28, 2026.