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KIEL JUSTIN TATUM
NPI 1609448521
Counselor - Mental Health in Portland, OR

Active since July 12, 2021
5441 S MACADAM AVE STE R, PORTLAND, OR 97239(425) 678-6463 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2026, Jul 12, 2021 (2 updates tracked since 2021).

About Kiel Justin Tatum NPPES

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

KIEL JUSTIN TATUM (NPI 1609448521) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R9212) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1609448521
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKIEL JUSTIN TATUM
Location Address5441 S MACADAM AVE STE RPortland, OR 97239-3822
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(425) 678-6463
Sole ProprietorNo
Enumeration DateJuly 12, 2021
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1609448521 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 · R9212
5441 S MACADAM AVE STE R, Portland, OR 97239
Open in Google Maps ↗

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.

SCOUT BROWN
Counselor (Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (503) 482-8116
JENNIFER KREBSBACH RN
Registered Nurse (Psychiatric/Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (507) 222-3848
GRETA JACQUELINE CYNAMON ZIOLKOWSKI
Nurse Practitioner (Psychiatric/Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (949) 616-5717
TO BE WELL PSYCHIATRY LLC
Nurse Practitioner (Psychiatric/Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (541) 422-6622
HASAN B EL-TAYYEB RMHCI
Counselor (Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (682) 970-0290
MRS. VALENTINA ALEKSANDROVNA PISHCHANSKAYA-CAYANAN
Marriage & Family Therapist
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (503) 908-9951
SO EMO COUNSELING
Clinic/Center (Adult Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (323) 893-9353
MRS. ALYSSA PATAKI LMFT
Counselor (Mental Health)
5441 S MACADAM AVE STE R
PORTLAND, OR 97239
Multnomah County (909) 367-5928

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 Kiel Tatum's NPI number?

The NPI number for Kiel Tatum is 1609448521. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Kiel Tatum located?

Kiel Tatum practices at 5441 S Macadam Ave Ste R, Portland, OR 97239. The listed phone number is (425) 678-6463.

What is Kiel Tatum'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 Kiel Tatum was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.