Active NPIIndividual providerSole proprietor

Kyle Chastain

Counselor, Addiction (Substance Use Disorder) in Tigard, Oregon

NPI Number1346054194
Practice location
10763 SW Greenburg RD Ste 100, Tigard, OR 97223-5492
Fax
503-598-0934
Last updated
February 3, 2025

Kyle Chastain is a Counselor, Addiction (Substance Use Disorder) based in Tigard, OR. Kyle Chastain practices in Tigard, OR. The NPI Number for Kyle Chastain is 1346054194 and holds a License No. T-25-4819 (OR). The current practice location address for Kyle Chastain is 10763 SW Greenburg RD Ste 100, Tigard, OR 97223-5492 and can be reached out via phone at 503-684-8159 and via fax at 503-598-0934.

Provider Profile Details

NPI Number
1346054194
Provider Name
Kyle Chastain
Provider Entity Type
Individual
Gender
Male
Address
10763 SW Greenburg RD Ste 100, Tigard, OR 97223-5492
Phone Number
503-684-8159
Fax Number
503-598-0934
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
February 3, 2025
Last Update Date
February 3, 2025
Certification Date
February 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
10763 SW Greenburg RD Ste 100
Tigard, OR 97223-5492
City
Tigard
State
Oregon
Zip
97223-5492
Phone Number
503-684-8159
Fax Number
503-598-0934
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
10763 SW Greenburg RD Ste 100
Tigard, OR 97223-5492
City
Tigard
State
OR
Zip
97223-5492
Phone Number
503-684-8159
Fax Number
503-598-0934

License Information

License Number
T-25-4819
License State
OR
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kyle Chastain?

The NPI number of Kyle Chastain is 1346054194. It was assigned on February 3, 2025 and is currently active in the NPPES registry.

What is the specialty of Kyle Chastain?

Kyle Chastain is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in OR under license number T-25-4819.

Where does Kyle Chastain practice?

The practice location is 10763 SW Greenburg RD Ste 100, Tigard, OR 97223-5492. The office can be reached at 503-684-8159 (phone) or 503-598-0934 (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 1346054194 directly on the NPPES registry website.

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