Individual provider · Type 1 NPI

Amy Kileen Black

Mental Health Counselor · Portland, OR

NPI number 1801090840 Active

Practice location

5331 S Macadam Ave Ste 287
Portland, OR 97239-3849

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1801090840

Amy Kileen Black's National Provider Identifier is 1801090840, issued on Jun 13, 2007. 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 15, 2026.