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KELLY DAWN HATTERSHIDE
NPI 1841708054
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since January 22, 2018
7931 NE HALSEY ST STE 200, PORTLAND, OR 97213(971) 803-0138(971) 352-1088 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly Dawn Hattershide NPPES

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

KELLY DAWN HATTERSHIDE (NPI 1841708054) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (19-12-22) and active in the NPI registry since January 2018. She maintains a secondary practice location in Beaverton.

NPPES Registry Identity

NPI1841708054
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY DAWN HATTERSHIDE
Location Address7931 NE HALSEY ST STE 200Portland, OR 97213-6755
Mailing Address34575 Noble RdSaint Helens, OR 97051-9332 · (503) 396-3848
Phone(971) 803-0138
Fax(971) 352-1088
Sole ProprietorNo
Enumeration DateJanuary 22, 2018
Last NPPES UpdateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
✔ NPI 1841708054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 19-12-22
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 19-QMHA-1-01054 (OR)
7931 NE HALSEY ST STE 200, Portland, OR 97213
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Secondary Practice Location 1

Location 13800 SW Cedar Hills Blvd Ste 266Beaverton, OR 97005-4759 · Phone (503) 924-2448 · Fax (503) 352-1088

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AHMAD JAFFAS
Peer Specialist
7931 NE HALSEY ST STE 200
PORTLAND, OR 97213
Multnomah County (503) 231-7480
ANGELA OKYE KO PSS
Peer Specialist
7931 NE HALSEY ST STE 200
PORTLAND, OR 97213
Multnomah County (971) 888-7828

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 Kelly Hattershide's NPI number?

The NPI number for Kelly Hattershide is 1841708054. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Kelly Hattershide located?

Kelly Hattershide practices at 7931 NE Halsey St Ste 200, Portland, OR 97213. The listed phone number is (971) 803-0138.

What is Kelly Hattershide'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 Kelly Hattershide was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.