Individual provider · Type 1 NPI

Paytonn Taini Wirt

Mental Health Counselor · Gresham, OR

NPI number 1861316218 Active

Practice location

1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770

Call (503) 740-1971 Map

Fax (503) 771-2436

Mailing address

255 SW Harrison St Apt 3A
Portland, OR 97201-5339

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XT-26-6733 (OR)
Mental Health Counselor Primary 101YM0800X26-QMHA-R-8882 (OR)

Mental Health Counselor: Definition to come...

22 other providers at this address

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About NPI 1861316218

Paytonn Taini Wirt's National Provider Identifier is 1861316218, issued on Aug 7, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Aug 7, 2026.