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CARLY RAE GUSTAFSON BA
NPI 1780111062
Counselor in Portland, OR

Active since May 17, 2017
1904 SE DIVISION ST, PORTLAND, OR 97202(503) 517-8663 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 17, 2017 (2 updates tracked since 2017).

About Carly Rae Gustafson Ba NPPES

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

CARLY RAE GUSTAFSON BA (NPI 1780111062) is an individual counselor in Portland, Oregon and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1780111062
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCARLY RAE GUSTAFSONCredential: BA
Location Address1904 SE DIVISION STPortland, OR 97202-1146
Mailing Address1904 Se Division StPortland, OR 97202-1146 · (503) 517-8663
Phone(503) 517-8663
Sole ProprietorNo
Enumeration DateMay 17, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1780111062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1904 SE DIVISION ST, Portland, OR 97202
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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.

MR. KIRK FENTON
Counselor (Mental Health)
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
EMMA REILLEY BUDDEKE
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
KRIS ONSHUS-WOMBLE
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
AARYN PRETTYMAN MSW
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
ALLEN MAXWELL HENDERSON
Case Manager/Care Coordinator
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
BRITTANY HOPE
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
CELESTE ARIEL MALONE
Marriage & Family Therapist
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
CRISTINA DOWNEY
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663

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 Carly Gustafson's NPI number?

The NPI number for Carly Gustafson is 1780111062. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Carly Gustafson located?

Carly Gustafson practices at 1904 SE Division St, Portland, OR 97202. The listed phone number is (503) 517-8663.

What is Carly Gustafson'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 Carly Gustafson was last updated on July 21, 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.