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MRS. KYLIE TAMIKO DEGUZMAN MA
NPI 1679051692
Counselor in Portland, OR

Active since August 01, 2018
3415 SE POWELL BLVD, PORTLAND, OR 97202(503) 234-9591 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2021, Jan 20, 2021, Aug 1, 2018 (3 updates tracked since 2018).

About Mrs. Kylie Tamiko Deguzman Ma NPPES

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

MRS. KYLIE TAMIKO DEGUZMAN MA (NPI 1679051692) is an individual counselor in Portland, Oregon and active in the NPI registry since August 2018. She maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1679051692
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. KYLIE TAMIKO DEGUZMANCredential: MA
Location Address3415 SE POWELL BLVDPortland, OR 97202-3371
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3396 · (503) 234-9591
Phone(503) 234-9591
Sole ProprietorNo
Enumeration DateAugust 1, 2018
Last NPPES UpdateMarch 29, 20213 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1679051692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
3415 SE POWELL BLVD, Portland, OR 97202
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Other Names 1

Former Name (1)Miss Kylie Tamiko Gumban Ma

Secondary Practice Location 1

Location 14890 32nd Ave SESalem, OR 97317-9350 · Phone (503) 588-5647 · Fax (503) 779-1992

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.

AMY HETLAGE MSW
Social Worker
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
CHELSEA YOUNG
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
HALLIE RISWOLD
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (541) 757-1852
MICAELA BUSACK
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
DANIEL TRACHUK
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
MATTHEW PAUL SIMONSON
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
ELSA CHRISTINA SPAULDING
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
PETAL GRIFFITH BS
Counselor (School)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 205-4334

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 Kylie Deguzman's NPI number?

The NPI number for Kylie Deguzman is 1679051692. It was assigned to this individual provider in the NPPES registry on August 1, 2018. The provider is also known as Miss Kylie Tamiko Gumban Ma.

Where is Kylie Deguzman located?

Kylie Deguzman practices at 3415 SE Powell Blvd, Portland, OR 97202. The listed phone number is (503) 234-9591.

What is Kylie Deguzman's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kylie Deguzman was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.