Healthcare Provider Details

I. General information

NPI: 1821925785
Provider Name (Legal Business Name): YOUR STORY MATTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 SE MILWAUKIE AVE STE G
PORTLAND OR
97202-3835
US

IV. Provider business mailing address

3701 SE MILWAUKIE AVE STE G
PORTLAND OR
97202-3835
US

V. Phone/Fax

Practice location:
  • Phone: 503-893-9084
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JUNYEON PAUL KIM
Title or Position: OWNER
Credential: LCSW
Phone: 503-893-9084