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MR. NATHANIEL RICHARD CONKLIN QMHA, CLINICAL COUNS
NPI 1811261506
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since February 28, 2012
847 NE 19TH AVE STE 100, PORTLAND, OR 97232(503) 238-0769(503) 238-0769 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2017, Feb 2, 2017 (2 updates tracked since 2017).

About Mr. Nathaniel Richard Conklin Qmha, Clinical Couns NPPES

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

MR. NATHANIEL RICHARD CONKLIN QMHA, CLINICAL COUNS (NPI 1811261506) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (CADC II, 13-12-54) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1811261506
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. NATHANIEL RICHARD CONKLINCredential: QMHA, CLINICAL COUNS
Location Address847 NE 19TH AVE STE 100Portland, OR 97232-2684
Mailing Address950 Cedar Way SeSalem, OR 97302-3111 · (503) 990-4506
Phone(503) 238-0769
Fax(503) 238-0769
Sole ProprietorNo
Enumeration DateFebruary 28, 2012
Last NPPES UpdateApril 11, 20172 updates tracked since enumeration
✔ NPI 1811261506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · CADC II, 13-12-54
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CADCII: 13-12-54 (OR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
847 NE 19TH AVE STE 100, 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.

TESHA YOLANDA MITCHELL
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
JENNIFER PETERS
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
REAGAN WILLIAM SELLERS
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
PHILLIP ALEXANDER HALL
Case Manager/Care Coordinator
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
KATE OLDFIELD
Counselor (Addiction (Substance Use Disorder))
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
KERSEY STEPHEN HARDING
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
EMILY HURD
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
REESE ERVIN GIBERSON
Social Worker
847 NE 19TH AVE STE 100
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 Nathaniel Conklin's NPI number?

The NPI number for Nathaniel Conklin is 1811261506. It was assigned to this individual provider in the NPPES registry on February 28, 2012.

Where is Nathaniel Conklin located?

Nathaniel Conklin practices at 847 NE 19th Ave Ste 100, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is Nathaniel Conklin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nathaniel Conklin was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.