KATIE M SICHLEY CADC III/QMHP-C NPI 1245777457

NPI Information

NPI: 1245777457
Provider Name: KATIE M SICHLEY, CADC III/QMHP-C
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1438 SE DIVISION ST
PORTLAND, OR
ZIP 97202
Phone: (503) 548-0346
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Katie M Sichley, CADC III/QMHP-C is an addiction (substance use disorder) counselor in Portland, OR. Katie M Sichley, CADC III/QMHP-C NPI is 1245777457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1438 SE DIVISION ST
PORTLAND, OR
ZIP 97202-140
Phone: (503) 548-0346
Fax: (503) 232-5959

The enumeration date for this NPI number is 1/25/2017 and was last updated on 3/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	23-QMHPC-001233	OREGON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	23-03-30067	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500742513	MEDICAID	OREGON
2	500812338	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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