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Latisha Brown, MA

Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).

NPI number1508178203
StatusActive
Last updated in NPPESApr 9, 2019

Details

NPI
1508178203
Entity type
Individual (NPI-1)
Name
Latisha Brown
Credential
MA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2010
Last updated
Apr 9, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

847 Ne 19th Ave
Portland, OR 97232-2684

Phone 503-238-0769

Mailing address

Po Box 8459
Portland, OR 97207-8459

Phone 503-238-0769

Other practice locations

2631 N Mississippi Ave
Portland, OR 97227-1616

Phone 503-528-2140 · Fax 503-335-8125

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Counselor providers in Portland, OR

All 4,013 Mental Health Counselor providers in Portland · All 48,847 providers in Portland

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