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

Melissa Ann Carroll, QMHA, CNA

Individual provider Behavior Technician · NPI 1295693927

Melissa Ann Carroll, QMHA, CNA is a Behavior Technician in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

30 NE Mlk Blvd
Portland, OR 97232-2941
Phone: (503) 232-1099
Fax: (503) 232-3854
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 25-QMHA-R-8013 (OR)

Record details

NPI number1295693927
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHA , CNA
Sole proprietorYes
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

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