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MR. KIRK L CAUDLE QMHA, BA
NPI 1063706091
Counselor - Mental Health in Portland, OR

Active since June 07, 2011
6449 SE 128TH AVE, PORTLAND, OR 97236(503) 726-3796 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kirk L Caudle Qmha, Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KIRK L CAUDLE QMHA, BA (NPI 1063706091) is an individual mental health provider in Portland, Oregon and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1063706091
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KIRK L CAUDLECredential: QMHA, BA
Location Address6449 SE 128TH AVEPortland, OR 97236-4652
Mailing Address10313 Sw 69th AveTigard, OR 97223-9103 · (503) 726-3690
Phone(503) 726-3796
Sole ProprietorNo
Enumeration DateJune 7, 2011
✔ NPI 1063706091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6449 SE 128TH AVE, Portland, OR 97236
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWN AUSTIN
Counselor
6449 SE 128TH AVE
PORTLAND, OR 97236
Multnomah County (503) 726-3796
MR. MORGEN MHIKE
Counselor (Mental Health)
6449 SE 128TH AVE
PORTLAND, OR 97236
Multnomah County (503) 726-3796
ALEXANDRA ISMENIA ALVAREZ
Counselor (Mental Health)
6449 SE 128TH AVE
PORTLAND, OR 97236
Multnomah County (503) 726-3740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirk Caudle's NPI number?

The NPI number for Kirk Caudle is 1063706091. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Kirk Caudle located?

Kirk Caudle practices at 6449 SE 128th Ave, Portland, OR 97236. The listed phone number is (503) 726-3796.

What is Kirk Caudle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kirk Caudle was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.