Individual provider · Type 1 NPI

Sophia Madelynn Krachuk

Mental Health Counselor · Portland, OR

NPI number 1932040086 Active

Practice location

1411 SW Morrison St Ste 310
Portland, OR 97205-1945

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1932040086

Sophia Madelynn Krachuk's National Provider Identifier is 1932040086, issued on Apr 2, 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 Apr 2, 2026.