THOMAS EDWARD ETTELSON
NPI 1811487465
Counselor - Mental Health in Tigard, OR

Active since May 18, 2018
8915 SW CENTER ST, TIGARD, OR 97223(503) 726-3740 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas Edward Ettelson NPPES

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

THOMAS EDWARD ETTELSON (NPI 1811487465) is an individual mental health provider in Tigard, Oregon and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1811487465
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHOMAS EDWARD ETTELSON
Location Address8915 SW CENTER STTigard, OR 97223-6307
Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (503) 726-3690
Sole ProprietorYes
Enumeration DateMay 18, 2018
NPI 1811487465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8915 SW CENTER ST, Tigard, OR 97223

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)
8915 SW CENTER ST
TIGARD, OR 97223
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Peer Specialist
8915 SW CENTER ST
TIGARD, OR 97223
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223

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 Thomas Ettelson's NPI number?

The NPI number for Thomas Ettelson is 1811487465. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Where is Thomas Ettelson located?

Thomas Ettelson practices at 8915 SW Center St, Tigard, OR 97223. The listed phone number is (503) 726-3740.

What is Thomas Ettelson'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 Thomas Ettelson was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.