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SERGEY KOMAROV
NPI 1376199745
Counselor - Mental Health in Portland, OR

Active since August 12, 2019
17710 NE HALSEY ST, PORTLAND, OR 97230(503) 305-6296(503) 387-5279 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2024, Jan 12, 2022, Aug 12, 2019 (3 updates tracked since 2019).

About Sergey Komarov NPPES

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

SERGEY KOMAROV (NPI 1376199745) is an individual mental health provider in Portland, Oregon, licensed in (PROFESSIONALLICENSE) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1376199745
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSERGEY KOMAROV
Location Address17710 NE HALSEY STPortland, OR 97230-6734
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(503) 305-6296
Fax(503) 387-5279
Sole ProprietorNo
Enumeration DateAugust 12, 2019
Last NPPES UpdateFebruary 20, 20263 updates tracked since enumeration
✔ NPI 1376199745 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 · PROFESSIONALLICENSE
17710 NE HALSEY ST, Portland, OR 97230
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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.

JOSHUA DANIEL BENNETT
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 293-3468
DANE ACHALAS
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 293-3468
RACHEL POWELL
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 328-8311
MAKEATHA WILLIAMS
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 305-6296
BRAD BOYCE
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 293-3468
KAREN LYNNE TAYLOR
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 293-3468
AMBER RACHELE HARRISON
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 305-6296
MELISSA ANNE GRETEMAN
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 293-3468

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 Sergey Komarov's NPI number?

The NPI number for Sergey Komarov is 1376199745. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Sergey Komarov located?

Sergey Komarov practices at 17710 NE Halsey St, Portland, OR 97230. The listed phone number is (503) 305-6296.

What is Sergey Komarov'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 Sergey Komarov was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.