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MR. KIM DAVID SPERRY
NPI 1164577524
Counselor - Mental Health in Portland, OR

Active since January 24, 2007
412 SW 12TH AVE, PORTLAND, OR 97205(503) 228-7134(503) 445-0749 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kim David Sperry NPPES

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

MR. KIM DAVID SPERRY (NPI 1164577524) is an individual mental health provider in Portland, Oregon and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1164577524
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KIM DAVID SPERRY
Location Address412 SW 12TH AVEPortland, OR 97205-2329
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-1681 · Fax (503) 241-7419
Phone(503) 228-7134
Fax(503) 445-0749
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateFebruary 5, 2009
✔ NPI 1164577524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 83038439RN (OR)
412 SW 12TH AVE, Portland, OR 97205
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Other Identifiers 1

Medicare ID-Type UnspecifiedOTH000

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.

MR. GREGORY S BELL QMHA
Case Manager/Care Coordinator
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MR. JAMIE H GLEASON
Counselor (Mental Health)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MS. ELIZABETH SCHEELER KIMBERLY
Social Worker (Clinical)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MR. RODERICK J ROBINSON QMHA
Social Worker (Clinical)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
JAMES M. WRIGHT QMHA
Case Manager/Care Coordinator
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 516-2048
DONALD BENJAMIN KUNZER BA
Adult Companion
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
ANNALISA COUTURIER
Counselor (Addiction (Substance Use Disorder))
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MS. FRANNY RACHEL THOMPSON QMHP, MSW
Social Worker (Clinical)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 552-0769

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 Kim Sperry's NPI number?

The NPI number for Kim Sperry is 1164577524. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Kim Sperry located?

Kim Sperry practices at 412 SW 12th Ave, Portland, OR 97205. The listed phone number is (503) 228-7134.

What is Kim Sperry'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 Kim Sperry was last updated on February 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.