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NPI Code Detail

MEDICARE: KATIE AMINAH GARCIA BA

MEDICARE: KATIE AMINAH GARCIA BA
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
1101YM0800XMental Health Counselor
2251B00000XCase Management AgencyOR
3175T00000XPeer SpecialistOR
4251S00000XCommunity/Behavioral Health AgencyOR

General Provider Information

NPI Number : 1104608041
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE AMINAH GARCIA BA
Provider Business Mailing Address
First Line : 232 NW 6TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97209-3609
Country : US
Telephone Number : 503-294-1681
Fax Number :
Provider Business Practice Location Address
First Line : 232 NW 6TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97209-3609
Country : US
Telephone Number : 503-294-1681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2023
Last Update Date : 02/02/2026

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Directions to “ KATIE AMINAH GARCIA BA” Practice Location

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