IndividualActive
Jordan Gakstatter
NPI 1679224828 · Behavior Analyst · Portland, OR
Provider details
- NPI number
- 1679224828
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1-21-57427 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
5847 Ne 122nd Ave Ste 101
Portland, OR 97230-1079
Phone: (971) 339-7040
Street-level locationGet directions
Mailing address
5847 Ne 122nd Ave Ste 101
Portland, OR 97230-1079
Registry dates
- Enumerated
- 2022-01-10
- Last updated
- 2022-01-10
- Certified
- 2022-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.