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

Brooklyn Kassebaum

Individual provider Mental Health Counselor · NPI 1710808399

Brooklyn Kassebaum is a Mental Health Counselor in Wilsonville, Oregon. Works from 2 locations. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

28925 SW Boberg Rd
Wilsonville, OR 97070-8218
Phone: (503) 395-0152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11105 Ne 14th St Ste 103, Vancouver, WA 98684-4309 — (503) 395-0152

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence R9458 (OR)
Mental Health Counselor Taxonomy 101YM0800X (WA)

Record details

NPI number1710808399
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2026
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address28925 Sw Boberg Rd, Wilsonville, OR 97070-8218

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