OrganizationActive
Oldtown Counseling and Consultation, LLC
NPI 1134058001 · Mental Health Counselor · Gresham, OR
Provider details
- NPI number
- 1134058001
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ryan Altstadt, Counselor; Member(971) 425-6524
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4295 Sw Tegart Ln
Gresham, OR 97080-8653
Phone: (971) 425-6524
Approximate (ZIP-level) locationGet directions
Mailing address
4295 Sw Tegart Ln
Gresham, OR 97080-8653
Registry dates
- Enumerated
- 2026-05-18
- Last updated
- 2026-05-18
- Certified
- 2026-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.