Individual provider · Type 1 NPI
Melinda Lee Herbaugh Conrad, MA PCA
Mental Health Counselor · Portland, OR
NPI number
1639684400
Active
Practice location
1706 NE 53rd Ave
Portland, OR 97213-2740
Fax (503) 882-4564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | R12092 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1639684400
Melinda Lee Herbaugh Conrad, MA PCA's National Provider Identifier is 1639684400, issued on Dec 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 7, 2026.