Healing Tails Collective

Mental Health Counselor · Portland, OR

Call (971) 421-4700 Directions

At a glance

1822 Sw Madison St, Portland, OR 97205-1717

NPPES record updated May 6, 2026. Public records can lag behind changes at a practice.

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Practice location

1822 Sw Madison St
Portland, OR 97205-1717

Professional details: NPI, taxonomy & registry record

NPI1194652800

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Registry details

Primary taxonomy: Mental Health Counselor
Taxonomy code: 101YM0800X
Enumeration date: May 6, 2026
Record updated: May 6, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101Y00000X

Specialty details in registry

101YA0400X

Mental Health Counselor

101YM0800X · Primary

Specialty details in registry

101YP2500X

Specialty details in registry

104100000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1822 Sw Madison St
Portland, OR 97205-1717

Phone: (971) 421-4700

Mailing address

1822 SW MADISON ST

PORTLAND, OR 972051717

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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