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KAIROSPDX
NPI 1790507085
Counselor - Mental Health in Portland, OR

Active since October 28, 2024
4915 N GANTENBEIN AVE, PORTLAND, OR 97217(503) 567-9820 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kairospdx NPPES

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

KAIROSPDX (NPI 1790507085) is a healthcare organization registered as a mental health in Portland, Oregon and active in the NPI registry since October 2024. The organization lists Donald Jackson, Assistant Director - Mental Health, as its authorized official.

NPPES Registry Identity

NPI1790507085
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameKAIROSPDX
Location Address4915 N GANTENBEIN AVEPortland, OR 97217-2814
Mailing AddressPo Box 12190Portland, OR 97212-0190 · (503) 567-9820
Phone(503) 567-9820
Organization SubpartNo
Authorized OfficialDonald JacksonAssistant Director - Mental Health · (503) 567-9820
Enumeration DateOctober 28, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1790507085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4915 N GANTENBEIN AVE, Portland, OR 97217
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Other Names 1

Doing Business AsKairospdx

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kairospdx's NPI number?

The NPI number for Kairospdx is 1790507085. It was assigned to this organization in the NPPES registry on October 28, 2024.

Where is Kairospdx located?

Kairospdx is located at 4915 N Gantenbein Ave, Portland, OR 97217. The listed phone number is (503) 567-9820.

What is Kairospdx'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 Kairospdx was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.