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

ALEXANDRA RYAN MATTINGLY QMHA-R
NPI 1518740232
Counselor - Mental Health in Portland, OR

Q: What is Alexandra Mattingly's NPI number?

The NPI number for Alexandra Mattingly is 1518740232. It was assigned to this individual provider in the NPPES registry on August 16, 2023. The provider is also known as Alex Ryan Mattingly Qmha-R.

Q: What is Alexandra Mattingly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since August 16, 2023

12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 6, 2026, May 29, 2025, Sep 8, 2023 and 1 more (4 updates tracked since 2023).

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About Alexandra Ryan Mattingly Qmha-r NPPES

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

ALEXANDRA RYAN MATTINGLY QMHA-R (NPI 1518740232) is an individual mental health provider in Portland, Oregon, licensed in Oregon (23-QMHA-R-4281) and active in the NPI registry since August 2023. She maintains a secondary practice location in Gresham.

NPPES Registry Identity

NPI1518740232

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameALEXANDRA RYAN MATTINGLYCredential: QMHA-R

Location Address12360 E BURNSIDE STPortland, OR 97233-1042

Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355

Phone(971) 279-4800

Fax(971) 279-2051

Sole ProprietorNo

Enumeration DateAugust 16, 2023

Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1518740232 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 · 23-QMHA-R-4281

12360 E BURNSIDE ST, Portland, OR 97233

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Other Names 1

Other Name (5)Alex Ryan Mattingly Qmha-r

Secondary Practice Location 1

Location 1620 NE 2nd StGresham, OR 97030-7514 · Phone (971) 274-3757 · Fax (503) 912-5740

Other Identifiers 1

Medicaid500824476OR

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.

ANGEL T HIRSCH PCA/QMHP-C

Counselor