Healthcare Provider Details

I. General information

NPI: 1457283665
Provider Name (Legal Business Name): KINDNESS MATTERS MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21430 N HIGHWAY 99W UNIT B
DUNDEE OR
97115-9022
US

IV. Provider business mailing address

21430 N HIGHWAY 99W UNIT B
DUNDEE OR
97115-9022
US

V. Phone/Fax

Practice location:
  • Phone: 503-899-5753
  • Fax: 503-919-7627
Mailing address:
  • Phone: 503-899-5753
  • Fax: 503-919-7627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LECIA SUE-ANNE BOYD
Title or Position: OWNER
Credential: PMHNP
Phone: 503-899-5753