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

Portland Neurodivergent Clinic LLC

Organization Mental Health Counselor · NPI 1194549691

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

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1250 NW Kearney St Apt 1306
Portland, OR 97209-4083
Phone: (971) 202-0047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1194549691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cassandra Miasnikov — Owner/Clinical Director · (971) 202-0047
Other names Portland Neurodivergent Clinic
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 11, 2024
Mailing address1250 Nw Kearney St Apt 1306, Portland, OR 97209-4083

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