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

Nicole Kimberly Canizales

Individual provider Mental Health Counselor · NPI 1558800961

Nicole Kimberly Canizales is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

14600 NW Cornell Rd
Portland, OR 97229-5442
Phone: (503) 645-3581
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1558800961
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2017
Last updated in NPPESFebruary 17, 2017

Other providers in Portland