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

Mr. Kim David Sperry

Individual provider Mental Health Counselor · NPI 1164577524

Mr. Kim David Sperry is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
2

Practice location Address checks out

412 SW 12th Ave
Portland, OR 97205-2329
Phone: (503) 228-7134
Fax: (503) 445-0749
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 83038439RN (OR)

Record details

NPI number1164577524
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESFebruary 5, 2009

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