JAMIE D GOTTLIEB QMHA-I - NPI 1619625910 - Counselor in Portland, OR

Q: What is Jamie Gottlieb's NPI number?

The NPI number for Jamie Gottlieb is 1619625910. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Q: What is Jamie Gottlieb's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jamie Gottlieb was last updated on July 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jamie D Gottlieb Qmha-i NPPES

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

JAMIE D GOTTLIEB QMHA-I (NPI 1619625910) is an individual mental health provider in Portland, Oregon, licensed in Oregon (23-QMHA-I-003642) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1619625910

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJAMIE D GOTTLIEBCredential: QMHA-I

Location Address1310 SW 17TH AVEPortland, OR 97201-2522

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

Phone(503) 231-2641

Fax(503) 467-4077

Sole ProprietorNo

Enumeration DateMarch 15, 2022

Last NPPES UpdateJuly 17, 2025

NPPES CertifiedJuly 17, 2025

✔ NPI 1619625910 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-I-003642

1310 SW 17TH AVE, Portland, OR 97201

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Other Identifiers 1

Medicaid500804360OR

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.

DONNA M TURQUOISE QMHP-C

Counselor (Mental Health)