DARARTU A INDISSA
NPI 1760151054
Counselor - Mental Health in Portland, OR
Active since September 09, 2021
About Darartu A Indissa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARARTU A INDISSA (NPI 1760151054) is an individual mental health provider in Portland, Oregon, licensed in Minnesota (27841) and active in the NPI registry since September 2021.
NPPES Registry Identity
NPI1760151054
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDARARTU A INDISSA
Location Address847 NE 19TH AVEPortland, OR 97232-2684
Mailing Address10905 Sw 78th AvePortland, OR 97223-8728 · (763) 316-9776
Phone(503) 238-0769
Sole ProprietorNo
Enumeration DateSeptember 9, 2021
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1760151054 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 MN · 27841
847 NE 19TH AVE, Portland, OR 97232
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.
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
PORTLAND, OR 97232
Counselor (Addiction (Substance Use Disorder))
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
PORTLAND, OR 97232
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760151054, enumerated as an "individual" on September 09, 2021.
The provider is located at 847 NE 19TH AVE PORTLAND, OR 97232 and the phone number is (503) 238-0769.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
