KAYLYN MCCLINTOCK QMHA, BA, CADCI
NPI 1962798744
Counselor - Addiction (Substance Use Disorder) in Portland, OR
Active since June 21, 2011
About Kaylyn Mcclintock Qmha, Ba, Cadci NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYLYN MCCLINTOCK QMHA, BA, CADCI (NPI 1962798744) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (13-12-27) and active in the NPI registry since June 2011.
NPPES Registry Identity
NPI1962798744
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKAYLYN MCCLINTOCKCredential: QMHA, BA, CADCI
Location Address1312 SW WASHINGTON STPortland, OR 97205-2327
Mailing AddressPo Box 3007Portland, OR 97208-3007 · (503) 535-1150 · Fax (503) 535-1191
Phone(503) 535-1150
Fax(503) 535-1191
Sole ProprietorNo
Enumeration DateJune 21, 2011
Last NPPES UpdateJanuary 2, 2015
✔ NPI 1962798744 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 13-12-27
1312 SW WASHINGTON ST, Portland, OR 97205
Other Names 1
Former Name (1)Kaylyn Mckelvey Qmha, Ba
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 (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
PORTLAND, OR 97205
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
PORTLAND, OR 97205
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
PORTLAND, OR 97205
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
PORTLAND, OR 97205
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
PORTLAND, OR 97205
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
PORTLAND, OR 97205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962798744, enumerated as an "individual" on June 21, 2011.
The provider is located at 1312 SW WASHINGTON ST PORTLAND, OR 97205 and the phone number is (503) 535-1150.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
