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

Carly Rae Gustafson, BA

Individual provider Counselor · NPI 1780111062

Carly Rae Gustafson, BA is a Counselor in Portland, Oregon. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1904 SE Division St
Portland, OR 97202-1146
Phone: (503) 517-8663
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1780111062
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorNo
NPI enumeratedMay 17, 2017
Last updated in NPPESJuly 21, 2022

Other providers in Portland