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

Tiffany Kettermann, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1003461740

Tiffany Kettermann, LLC is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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

2950 SE Stark St Ste 130
Portland, OR 97214-3082
Phone: (971) 270-0167
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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
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1003461740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Kettermann — Ceo · (971) 270-0167
NPI enumeratedAugust 8, 2019
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address2950 Se Stark St Ste 130, Portland, OR 97214-3082

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