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Search › Oregon › Adult Companion

Staley Mims, QMHP MED

NPI 1023155207 · on the registry since 2007 · sole proprietor

Practice

Address
2330 Ne Siskiyou St
Portland, OR 97212
Phone
(503) 528-0757
Fax
(503) 528-0764
Organisation at this address
Cascadia
Cascadia Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
156

Registry record

Primary taxonomy
Adult Companion
372600000X
Also registered as
Mental Health Counselor
Sex
Male
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon