Search › Oregon › 101YA0400X
Nathaniel Conklin, QMHA, CLINICAL COUNS
NPI 1811261506 · on the registry since 2012
Practice
- Address
- 847 Ne 19th Ave Ste 100
Portland, OR 97232 - Phone
- (503) 238-0769
- Fax
- (503) 238-0769
- Organisation at this address
- Cascadia Health
Santiam Correctional Institure
Coffee Creek Correction Facility
Cascadia Behavioral Healthcare, Inc
Columbia River Correctional InstitutionInferred from a shared address, not stated in the registry. - Clinicians at this address
- 886
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 390200000X
101YM0800X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-11
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