Kiel Justin Tatum
Kiel Justin Tatum is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2021.
- Licensed in
- OR
- In the registry since
- 2021
Practice location Address checks out
5441 S Macadam Ave Ste RPortland, OR 97239-3822
Phone: (425) 678-6463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence R9212 (OR) |
|---|
Record details
| NPI number | 1609448521 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 12, 2021 |
| Last updated in NPPES | May 14, 2026 |
| Certification date | May 14, 2026 |
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