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DARARTU A INDISSA
NPI 1760151054
Counselor - Mental Health in Portland, OR

Active since September 09, 2021
847 NE 19TH AVE, PORTLAND, OR 97232(503) 238-0769 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 8, 2022, Sep 9, 2021 (2 updates tracked since 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
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.

DEANNA GOLD M.A.
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 891-9937
VALERIY IGUMNOV RN
Registered Nurse
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
HEAVEN WOODS
Community Health Worker
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769
MR. DEREK SUN
Adult Companion
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
NATALIE TAYLOR
Adult Companion
847 NE 19TH AVE, STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
ANDREW VOGLER
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
SHANA AXTHELM
Adult Companion
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 760-9606
JOSEPH WARREN LASAC
Case Manager/Care Coordinator
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769

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 Darartu Indissa's NPI number?

The NPI number for Darartu Indissa is 1760151054. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Darartu Indissa located?

Darartu Indissa practices at 847 NE 19th Ave, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is Darartu Indissa'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 Darartu Indissa was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.