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

Mr. Nathaniel Richard Conklin, QMHA, CLINICALCOUNS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811261506

Mr. Nathaniel Richard Conklin, QMHA, CLINICALCOUNS is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
Specialties on file
3

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Portland, OR

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CADC II, 13-12-54 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Mental Health Counselor Taxonomy 101YM0800X · Licence CADCII: 13-12-54 (OR)

Record details

NPI number1811261506
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHA , CLINICALCOUNS
Sole proprietorNo
NPI enumeratedFebruary 28, 2012
Last updated in NPPESApril 11, 2017

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