- Practice location
- 6449 SE 128TH Ave, Portland, OR 97236-4652
- Phone
- 503-726-3796
- Fax
- —
- Last updated
- June 7, 2011
Kirk L Caudle is a Counselor, Mental Health based in Portland, OR. Kirk L Caudle practices in Portland, OR and has the professional credentials of QMHA, BA. The NPI Number for Kirk L Caudle is 1063706091. The current practice location address for Kirk L Caudle is 6449 SE 128TH Ave, Portland, OR 97236-4652 and can be reached out via phone at 503-726-3796.
Provider Profile Details
- NPI Number
- 1063706091
- Provider Name
- Kirk L Caudle
- Credential
- QMHA, BA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6449 SE 128TH Ave, Portland, OR 97236-4652
- Phone Number
- 503-726-3796
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 7, 2011
- Last Update Date
- June 7, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6449 SE 128TH Ave
Portland, OR 97236-4652 - City
- Portland
- State
- Oregon
- Zip
- 97236-4652
- Phone Number
- 503-726-3796
Provider Business Mailing Address Details
- Address
- 10313 SW 69TH Ave
Tigard, OR 97223-9103 - City
- Tigard
- State
- OR
- Zip
- 97223-9103
- Phone Number
- 503-726-3690
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Kirk L Caudle, QMHA, BA?
The NPI number of Mr. Kirk L Caudle, QMHA, BA is 1063706091. It was assigned on June 7, 2011 and is currently active in the NPPES registry.
What is the specialty of Mr. Kirk L Caudle, QMHA, BA?
Mr. Kirk L Caudle, QMHA, BA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Mr. Kirk L Caudle, QMHA, BA practice?
The practice location is 6449 SE 128TH Ave, Portland, OR 97236-4652. The office can be reached at 503-726-3796 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063706091 directly on the NPPES registry website.