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

Pamela Self

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1851742175

Pamela Self is a Clinical Social Worker in Portland, Oregon. Qualified in 2017, 9 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

2415 SE 43rd Ave Ste 200
Portland, OR 97206-1671
Phone: (503) 238-0705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3036 Ne Mlk Jr Blvd, Portland, OR 97212-3053 — (503) 889-2500
  • 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 — (503) 238-0769

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L10482 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19-04-13 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1851742175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2016
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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