Individual provider · Type 1 NPI

Kylea Skye Sundberg

Professional Counselor · Portland, OR

NPI number 1750064010 Active

Practice location

12636 SE Stark St Ste 125
Portland, OR 97233-1058

Call (503) 238-0769 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XR11816 (OR)

Professional Counselor: Definition to come...

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About NPI 1750064010

Kylea Skye Sundberg's National Provider Identifier is 1750064010, issued on Aug 11, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Sep 9, 2026.