Mary C Affolter, LPC, QMHP
Counselor, Professional in Gresham, Oregon
1164436572- Practice location
- 400 NE 7TH St, Gresham, OR 97030-5604
- Phone
- 503-489-2306
- Fax
- 503-661-4959
- Last updated
- September 11, 2025
Mary C Affolter, LPC, QMHP is a Counselor, Professional based in Gresham, OR. Mary C Affolter, LPC, QMHP holds the professional credentials of LPC, QMHP. The NPI number for Mary C Affolter, LPC, QMHP is 1164436572 and holds license No. C1038 (OR). The current practice location address is 400 NE 7TH St, Gresham, OR 97030-5604 and the office can be reached by phone at 503-489-2306 and by fax at 503-661-4959. The NPI was assigned on July 28, 2006 and the record was last updated in NPPES on September 11, 2025.
●Provider Profile Details
- NPI Number
- 1164436572
- Provider Name
- Mary Christine Affolter
- Credential
- LPC, QMHP
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Enumeration Date
- July 28, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
- Other Names
- -- Quince Mary Affolter, LPC, QMHP (Other Name)
◉Business Practice Location Address
- Address
- 400 NE 7TH St
Gresham, OR 97030-5604 - City
- Gresham
- State
- Oregon
- ZIP
- 97030-5604
- Country
- US
- Phone Number
- 503-489-2306
- Fax Number
- 503-661-4959
✉Business Mailing Address
- Address
- 627 SE 68TH Ave
Portland, OR 97215-2103 - City
- Portland
- State
- OR
- ZIP
- 97215-2103
- Phone Number
- 503-252-2565
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health | 101YM0800X | No | — | — |
| Counselor, Professional | 101YP2500X | Yes | C1038 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Gresham, OR
View all providers in Gresham →?Frequently Asked Questions
What is the NPI number of Mary C Affolter, LPC, QMHP?
The NPI number of Mary C Affolter, LPC, QMHP is 1164436572. It was assigned on July 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Mary C Affolter, LPC, QMHP?
Mary C Affolter, LPC, QMHP is registered under the primary taxonomy Counselor, Professional (code 101YP2500X) and holds license No. C1038 (OR).
Where does Mary C Affolter, LPC, QMHP practice?
The practice location is 400 NE 7TH St, Gresham, OR 97030-5604. The office can be reached at 503-489-2306 (phone) or 503-661-4959 (fax).
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 1164436572 directly on the NPPES registry website at npiregistry.cms.hhs.gov.