Individual provider · Type 1 NPI

Desirae Nicole Stites, M.A.

Mental Health Counselor · Portland, OR

NPI number 1720918238 Active

Practice location

1730 SW Skyline Blvd Ste 104
Portland, OR 97221-2547

Call (971) 203-2326 Map

Fax (971) 203-2572

Mailing address

540 NW Lost Springs Ter Ste 202
Portland, OR 97229-6678

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720918238

Desirae Nicole Stites, M.A.'s National Provider Identifier is 1720918238, issued on May 19, 2026. 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 19, 2026.