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

Kaily Rae Gardner

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588371272

Kaily Rae Gardner is an Addiction (Substance Use Disorder) Counselor in Sutherlin, Oregon. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4

Practice location Address checks out

352 S Calapooia St Ste B
Sutherlin, OR 97479-9558
Phone: (541) 799-5386
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1588371272
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 1, 2022
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

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