Individual provider · Type 1 NPI

Nicole Diaz

Mental Health Counselor · Portland, OR

NPI number 1740080969 Active

Practice location

120 SE Market St
Portland, OR 97214-4501

Call (971) 428-5497 Map

Mailing address

8915 SW Center St
Tigard, OR 97223-6307

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1740080969

Nicole Diaz's National Provider Identifier is 1740080969, issued on Mar 17, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 7, 2026.