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

Kaitlin Elizabeth Park

Individual provider Counselor · NPI 1164063954

Kaitlin Elizabeth Park is a Counselor in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

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

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1164063954
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 2, 2019
Last updated in NPPESOctober 2, 2019

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