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

Penny Park

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184458762

Penny Park is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

33 NW Broadway
Portland, OR 97209-3580
Phone: (503) 228-7134
Show map & directions

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

Additional practice locations (1)

  • 5019 Ne 102nd Ave Unit A, Portland, OR 97220-1199 — (971) 383-1220

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence T-24-4334 (OR)

Record details

NPI number1184458762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

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