OrganizationActive
Reaching in Serving Kids
NPI 1639430747 · Addiction (Substance Use Disorder) Counselor · Portland, OR
Provider details
- NPI number
- 1639430747
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Leonard Clark, Director(503) 593-7764
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES 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
4134 N Vancouver Ave
Suite 303c
Portland, OR 97217-2900
Phone: (503) 593-7764
Fax: (503) 249-2047
Street-level locationGet directions
Mailing address
4134 N Vancouver Ave
Portland, OR 97217-2900
Registry dates
- Enumerated
- 2012-06-05
- Last updated
- 2012-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.