MR. TIM STREETER QMHA
NPI 1598056368
Counselor - Mental Health in Aloha, OR
Active since April 27, 2011
About Mr. Tim Streeter Qmha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TIM STREETER QMHA (NPI 1598056368) is an individual mental health provider in Aloha, Oregon and active in the NPI registry since April 2011. He maintains a secondary practice location in Portland.
NPPES Registry Identity
NPI1598056368
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. TIM STREETERCredential: QMHA
Location Address4180 SW 185TH AVEAloha, OR 97007-1564
Mailing AddressPo Box 252Banks, OR 97106-0252 · (206) 229-8701
Phone(206) 229-8701
Sole ProprietorNo
Enumeration DateApril 27, 2011
Last NPPES UpdateNovember 20, 2018
✔ NPI 1598056368 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedAdult CompanionTaxonomy 372600000X
4180 SW 185TH AVE, Aloha, OR 97007
Secondary Practice Location 1
Location 1847 NE 19th Ave Ste 100Portland, OR 97232-2684 · Phone (503) 238-0769
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598056368, enumerated as an "individual" on April 27, 2011.
The provider is located at 4180 SW 185TH AVE ALOHA, OR 97007 and the phone number is (206) 229-8701.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
