AIDAN STICKLES
NPI 1104799436
Counselor - Mental Health in Portland, OR

Active since September 24, 2025
2375 NW GLISAN ST, PORTLAND, OR 97210(503) 963-7641 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Aidan Stickles NPPES

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

AIDAN STICKLES (NPI 1104799436) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1104799436
Entity TypeIndividual
Primary Taxonomy101YM0800X
Provider Legal NameAIDAN STICKLES
Location Address2375 NW GLISAN STPortland, OR 97210-3420
Mailing AddressPo Box 8459Portland, OR 97207-8459
Sole ProprietorNo
Enumeration DateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1104799436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2375 NW GLISAN ST, Portland, OR 97210

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Multi-Specialty)
2375 NW GLISAN ST
PORTLAND, OR 97210
Counselor (Mental Health)
2375 NW GLISAN ST
PORTLAND, OR 97210
Adult Companion
2375 NW GLISAN ST
PORTLAND, OR 97210
Adult Companion
2375 NW GLISAN ST
PORTLAND, OR 97210
Nursing Facility/Intermediate Care Facility
2375 NW GLISAN ST
PORTLAND, OR 97210
Adult Companion
2375 NW GLISAN ST
PORTLAND, OR 97210
Community Health Worker
2375 NW GLISAN ST
PORTLAND, OR 97210
Counselor (Mental Health)
2375 NW GLISAN ST
PORTLAND, OR 97210

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 Aidan Stickles's NPI number?

The NPI number for Aidan Stickles is 1104799436. It was assigned to this individual provider in the NPPES registry on September 24, 2025.

Where is Aidan Stickles located?

Aidan Stickles practices at 2375 NW Glisan St, Portland, OR 97210. The listed phone number is (503) 963-7641.

What is Aidan Stickles'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 Aidan Stickles was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.