MEDICARE: KRISTI MCKINNEY CADC III, QMHP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	21-04-30011	OR

General Provider Information

NPI Number	:	1649997784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI MCKINNEY CADC III, QMHP-C

Provider Business Mailing Address
First Line	:	3217 NE 108TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97220-2743
Country	:	US
Telephone Number	:	503-545-2406
Fax Number	:

Provider Business Practice Location Address
First Line	:	2209 LLOYD CTR
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-1315
Country	:	US
Telephone Number	:	503-231-8164
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2022
Last Update Date	:	10/19/2022

Similar Medicare Providers

1952330631 — SUSAN JOHNSON, MD LLC
Practice Location Address:

2209 LLOYD CTR
PORTLAND, OR
97232-1315

Practice Phone: 503-345-9339
Practice Fax: 503-345-9339

1790182012 — FAIZA ABDULAZIZ MOHAMED MSW
Practice Location Address:

2214 LLOYD CENTER
PORTLAND, OR
97232-1315

Practice Phone: 503-494-4222
Practice Fax: 503-494-6143

1770221871 — ZUMURRUDAH RAHMAN LMT
Practice Location Address:

2225 LLOYD CTR
PORTLAND, OR
97232-1315

Practice Phone: 503-837-7368
Practice Fax:

1952007478 — LAREAUX BEAUTY & WELLNESS
Practice Location Address:

2225 LLOYD CTR
PORTLAND, OR
97232-1315

Practice Phone: 971-380-8995
Practice Fax:

1780388744 — GLAMRUSH BEAUTY BAR LLC
Practice Location Address:

2225 LLOYD CTR FL 3
PORTLAND, OR
97232-1315

Practice Phone: 503-837-7368
Practice Fax:

1144165325 — KATE KNOCHEL
Practice Location Address:

7452 SW 52ND AVE
PORTLAND, OR
97219-1315

Practice Phone: 503-916-6308
Practice Fax:

Directions to “ KRISTI MCKINNEY CADC III, QMHP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.