DR. TEREK KANSO PSY.D., LPC
NPI 1669962536
Counselor - Professional in Portland, OR

Active since May 15, 2018
10127 SW 59TH PL, PORTLAND, OR 97219(503) 866-9688 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Counselor
  • Professional

About TEREK KANSO

This page provides the complete NPI Profile along with additional information for Terek Kanso, a provider established in Portland, Oregon with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1669962536 assigned on May 2018. The practitioner's primary taxonomy code is 101YP2500X with license number C4721 (OR). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1669962536 Verify this NPI
Provider Name
DR. TEREK KANSO PSY.D., LPC
Gender
Male
Entity Type
Individual
Location Address
10127 SW 59TH PL PORTLAND, OR 97219
Location Phone
(503) 866-9688
Mailing Address
10127 SW 59TH PL PORTLAND, OR 97219
Mailing Phone
(503) 866-9688
Is Sole Proprietor?
Yes
Enumeration Date
05-15-2018
Last Update Date
05-15-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
C4721
License State
OR

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669962536, enumerated as an "individual" on May 15, 2018.

The provider is located at 10127 SW 59TH PL PORTLAND, OR 97219 and the phone number is (503) 866-9688.

Counselor with taxonomy code 101YP2500X and a focus in Professional.