IndividualActive
Kanapathy Suppaiah, RN, PMHNP
NPI 1497971014 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1497971014
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- RN, PMHNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 079043086N6 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2301 Nw Thurman St Ste a
Portland, OR 97210-2581
Phone: (503) 243-7907
Approximate (ZIP-level) locationGet directions
Mailing address
2301 Nw Thurman St Ste a
Portland, OR 97210-2581
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.