Individual provider · Type 1 NPI

Autumn Moran Simmons

Mental Health Counselor · Portland, OR

NPI number 1972176766 Active

Practice location

2318 NE Mlk Jr Blvd
Portland, OR 97212-3715

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Other practice locations

  • 17710 NE Halsey St Bldg A, Portland, OR 97230-6734 · (503) 654-7654

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X22-QMHA-R-2421 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1972176766

Autumn Moran Simmons's National Provider Identifier is 1972176766, issued on Jul 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.