IndividualActive
Michael Kubetz
NPI 1003234188 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1003234188
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- C3288 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6864 Ne Claremont Ave
Portland, OR 97211-4042
Phone: (503) 241-4880
Approximate (ZIP-level) locationGet directions
Mailing address
6864 Ne Claremont Ave
Portland, OR 97211-4042
Registry dates
- Enumerated
- 2014-04-04
- Last updated
- 2014-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.