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

Alexandra Ryan Mattingly, QMHA-R

Individual provider Mental Health Counselor · NPI 1518740232

Alexandra Ryan Mattingly, QMHA-R is a Mental Health Counselor in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

12360 E Burnside St
Portland, OR 97233-1042
Phone: (971) 279-4800
Fax: (971) 279-2051
Show map & directions

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

Additional practice locations (1)

  • 620 Ne 2nd St, Gresham, OR 97030-7514 — (971) 274-3757

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 23-QMHA-R-4281 (OR)

Record details

NPI number1518740232
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHA-R
Sole proprietorNo
NPI enumeratedAugust 16, 2023
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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