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

Kairospdx

Organization Mental Health Counselor · NPI 1790507085

Kairospdx is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4915 N Gantenbein Ave
Portland, OR 97217-2814
Phone: (503) 567-9820
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1790507085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Jackson — Assistant Director - Mental Health · (503) 567-9820
Other names Kairospdx
NPI enumeratedOctober 28, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 16, 2024
Mailing addressPo Box 12190, Portland, OR 97212-0190

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