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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVID LEVI-KIMBROUGH QMHA-R
NPI 1295402790
Counselor - Mental Health in Portland, OR

Active since August 24, 2021
3636 NE BROADWAY ST, PORTLAND, OR 97232(503) 548-0346(503) 232-5959 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Jun 3, 2026, Aug 24, 2021 (3 updates tracked since 2021).

About David Levi-kimbrough Qmha-r NPPES

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

DAVID LEVI-KIMBROUGH QMHA-R (NPI 1295402790) is an individual mental health provider in Portland, Oregon, licensed in Oregon (26-QMHA-R-8723) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1295402790
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID LEVI-KIMBROUGHCredential: QMHA-R
Location Address3636 NE BROADWAY STPortland, OR 97232-1823
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355
Phone(503) 548-0346
Fax(503) 232-5959
Sole ProprietorNo
Enumeration DateAugust 24, 2021
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1295402790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 26-QMHA-R-8723
3636 NE BROADWAY ST, Portland, OR 97232
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

MALACHI HOPKINS PSS/QMHA-R
Counselor (Mental Health)
3636 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 548-0346
NAOMI RHEA YOUNG QMHP-R
Counselor (Mental Health)
3636 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 548-0346
TAYLOR ELIZABETH FINDT QMHP-R
Counselor (Mental Health)
3636 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 548-0346
EDWARD PRADO QMHA-R
Counselor (Mental Health)
3636 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 548-0346
ANDREA L GARBER LCSW/LICSW/CADCIII
Social Worker (Clinical)
3636 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 548-0346
NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
3636 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 548-0346
DR. MARCELA J VINOCUR MD
Psychiatry & Neurology (Psychiatry)
3636 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 548-0346
KELSEY BRENNA MOVCHAN PSS, CRM, QMHA-R
Peer Specialist
3636 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 548-0346

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 David Levi-kimbrough's NPI number?

The NPI number for David Levi-kimbrough is 1295402790. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is David Levi-kimbrough located?

David Levi-kimbrough practices at 3636 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 548-0346.

What is David Levi-kimbrough'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 David Levi-kimbrough was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.