IndividualActive
Kaitlin Park
NPI 1164063954 · Counselor · Portland, OR
Kaitlin Park is a Counselor provider in Portland, OR (NPI 1164063954).
Provider details
- NPI number
- 1164063954
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% 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
1904 Se Division St
Portland, OR 97202-1146
Phone: (503) 517-8663
Street-level locationGet directions
Mailing address
1904 Se Division St
Portland, OR 97202-1146
Registry dates
- Enumerated
- 2019-10-02
- Last updated
- 2019-10-02
Frequently asked questions
- What is Kaitlin Park's NPI number?
- Kaitlin Park's National Provider Identifier (NPI) is 1164063954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kaitlin Park's specialty?
- Kaitlin Park is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Kaitlin Park located?
- Kaitlin Park's practice location on file with NPPES is 1904 Se Division St, Portland, OR 97202-1146.
- What is Kaitlin Park's phone number?
- The practice phone number listed in the NPPES registry for Kaitlin Park is (503) 517-8663.
- Is Kaitlin Park's NPI active?
- Yes — Kaitlin Park's NPI (1164063954) is active in the NPPES registry as of the last update on 2019-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.