Individual provider · Type 1 NPI

Kurt Woodruff Sproul, PCA, APCC, ACMHC

Mental Health Counselor · Portland, OR

NPI number 1689174757 Active

Practice location

Mindful Therapy Group, 5440 SW Westgate Dr, Suite 350
Portland, OR 97239

Call (425) 678-6463 Map

Mailing address

2355 State St Ste 101
Salem, OR 97301-4541

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC10862 (OR)
Mental Health Counselor 101YM0800X13147561-6009 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1689174757

Kurt Woodruff Sproul, PCA, APCC, ACMHC's National Provider Identifier is 1689174757, issued on Feb 15, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 12, 2025.