Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dynamic Therapy Alliance, LLC

Organization Clinical Social Worker · NPI 1356136642

Dynamic Therapy Alliance, LLC is a Clinical Social Worker in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2404 SE 113th Ave
Portland, OR 97216-4042
Phone: (971) 259-8022
Fax: (971) 484-4002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1356136642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Kinman — Licensed Clinical Social Worker · (970) 258-0220
NPI enumeratedApril 9, 2025
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address2404 Se 113th Ave Apt A, Portland, OR 97216-4042

Other providers in Portland