EDGAR ANDRADA
NPI 1548647662
Counselor - Mental Health in Portland, OR

Active since April 27, 2015
11610 NW STONE MOUNTAIN LN APT 208, PORTLAND, OR 97229(971) 202-6833 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Edgar Andrada NPPES

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

EDGAR ANDRADA (NPI 1548647662) is an individual mental health provider in Portland, Oregon, licensed in Oregon (3838111) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1548647662
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEDGAR ANDRADA
Location Address11610 NW STONE MOUNTAIN LN APT 208Portland, OR 97229-5995
Mailing Address11610 Nw Stone Mountain Ln Apt 208Portland, OR 97229-5995 · (971) 202-6833
Sole ProprietorYes
Enumeration DateApril 27, 2015
✔ NPI 1548647662 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 · 3838111
11610 NW STONE MOUNTAIN LN APT 208, Portland, OR 97229

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 Edgar Andrada's NPI number?

The NPI number for Edgar Andrada is 1548647662. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Where is Edgar Andrada located?

Edgar Andrada practices at 11610 NW Stone Mountain Ln Apt 208, Portland, OR 97229. The listed phone number is (971) 202-6833.

What is Edgar Andrada'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 Edgar Andrada was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.