CAROL A. MCKINNON LCSW NPI 1477838852

NPI Information

  • NPI: 1477838852
  • Provider Name: CAROL A. MCKINNON, LCSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 8835 SW CANYON LN
    SUITE 240
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 292-5439

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NPI Details

CAROL A. MCKINNON, LCSW is a mental health counselor in Portland, OR. CAROL A. MCKINNON, LCSW NPI is 1477838852. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8835 SW CANYON LN
SUITE 240
PORTLAND, OR
ZIP 97225-443
Phone: (503) 292-5439
Fax: (181) 379-2339

The provider's authorized official is Carol Ann Mckinnon .
The authorized official title is Social Worker and has the following contact phone number (503) 292-5439.

The enumeration date for this NPI number is 10/17/2011 and was last updated on 10/17/2011.

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
1101YM0800XCounselorMental HealthOREGON 0326OREGONYes

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
10000BHTFNMEDICARE PINOREGON
2A42872MEDICARE UPINOREGON

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: 11/21/2025

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