Healthcare Provider Details

I. General information

NPI: 1487559480
Provider Name (Legal Business Name): CONTEMPLATIVE PATH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 SE ALDER ST STE 301
PORTLAND OR
97214-2400
US

IV. Provider business mailing address

PO BOX 8459
PORTLAND OR
97207-8459
US

V. Phone/Fax

Practice location:
  • Phone: 971-350-8490
  • Fax:
Mailing address:
  • Phone: 871-350-8490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANDREW KENT KREISELMAIER
Title or Position: COUNSELOR / OWNER
Credential: LPC
Phone: 971-350-8490