GERALD TODD FLYNN CADC II
NPI 1366985707
Counselor - Mental Health in Portland, OR

Active since December 01, 2016
1316 SE 12TH AVE, PORTLAND, OR 97214(503) 897-1916 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald Todd Flynn Cadc Ii NPPES

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

GERALD TODD FLYNN CADC II (NPI 1366985707) is an individual mental health provider in Portland, Oregon, licensed in Oregon (12-12-75) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1366985707
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGERALD TODD FLYNNCredential: CADC II
Location Address1316 SE 12TH AVEPortland, OR 97214-3604
Mailing Address2135 Nw 160th AveBeaverton, OR 97006-7614 · (503) 332-4969
Sole ProprietorYes
Enumeration DateDecember 1, 2016
NPI 1366985707 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 · 12-12-75
1316 SE 12TH AVE, Portland, OR 97214

Other Providers at the Same Location NPPES 7

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

Peer Specialist
1316 SE 12TH AVE
PORTLAND, OR 97214
Substance Abuse Rehabilitation Facility
1316 SE 12TH AVE
PORTLAND, OR 97214
Peer Specialist
1316 SE 12TH AVE
PORTLAND, OR 97214
Counselor (Addiction (Substance Use Disorder))
1316 SE 12TH AVE
PORTLAND, OR 97214
Peer Specialist
1316 SE 12TH AVE
PORTLAND, OR 97214
Counselor (Addiction (Substance Use Disorder))
1316 SE 12TH AVE
PORTLAND, OR 97214
Counselor (Addiction (Substance Use Disorder))
1316 SE 12TH AVE
PORTLAND, OR 97214

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 Gerald Flynn's NPI number?

The NPI number for Gerald Flynn is 1366985707. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Where is Gerald Flynn located?

Gerald Flynn practices at 1316 SE 12th Ave, Portland, OR 97214. The listed phone number is (503) 897-1916.

What is Gerald Flynn'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 Gerald Flynn was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.