Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1457618258 Deactivated / Inactive NPI Female Practitioner

Dr. Deborah Diane Kettle , PhD

Counselor • Gladstone, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Deborah Kettle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2012
NPI Deactivation Date June 03, 2019
Total Practice Duration ~7 Years of Practice (2012 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Deborah Kettle, PhD was a registered Counselor practicing in Gladstone, OR. Throughout an active medical career spanning 7 years, Dr. Kettle provided care at the practice location at 880 82ND DR until profile deactivation on 2019-06-03.

Practice Location & Contact Primary Location

Practice Address

880 82nd Dr

Gladstone, OR 970271803

Telephone 5036595515
Fax 5036591994
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Gladstone, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
14 Specialists

Practicing in Gladstone, OR (4551 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003164690

Doctor of Psychology (Psy.D.)

Sara Padilla , LPC, LMHC

Counselor - Professional

NPI 1023463957

Licensed Professional Counselor, Licensed Mental Health Counselor

Chase Melby

Counselor - Mental Health

NPI 1033824537
Sarah Miller , LPC

Counselor - Professional

NPI 1043812712

Licensed Professional Counselor

Dr. Slater Tai , MD

Psychiatry & Neurology - Psychiatry

NPI 1063597516

Doctor of Medicine (M.D.)

Diana Grum , MSSA, LCSW

Social Worker - Clinical

NPI 1063841625

MSSA, Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 03, 2019

Record deactivated on June 03, 2019

NPI Profile Active April 18, 2012

NPI status registered as active in NPPES database

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Updated Practice Location April 18, 2012

Registered at 880 82ND DR, GLADSTONE, OR 970271803 (Tel: 5036595515)

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Updated Business Mailing Address April 18, 2012

Registered at 880 82ND DR, GLADSTONE, OR 970271803 (Tel: 5036595515)

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Provider Name / Credentials Updated April 18, 2012

Recorded as DEBORAH KETTLE, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2012

Counselor

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Initial NPI Registration & Enumeration April 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457618258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2012
Last Update: April 18, 2012
Deactivation Date: June 03, 2019

Mailing Address

880 82nd Dr

Gladstone, OR 970271803

Phone: 5036595515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.