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Active NPI 1356987465 Organization (Entity Type 2)

D M Cottrell Llc

Counselor - Mental Health • Gresham, OR

About D M Cottrell Llc NPI 1356987465 Summary

D M Cottrell Llc is a verified healthcare organization specializing in Counselor - Mental Health operating in Gresham, OR. Located at 320 N MAIN AVE STE 201B, this facility provides patient care and medical services under National Provider Identifier (NPI) 1356987465.

Administrative operations and authorized compliance are overseen by Dawn Cottrell (Licensed Professional Counselor).

Facility Location & Contact Primary Location

Facility Address

320 N Main Ave Ste 201b

Gresham, OR 970307242

Telephone 5038565058

Authorized Official Information

Authorized Contact Name

Dawn Cottrell , MA, LPC

Title / Role

Licensed Professional Counselor

Official Telephone

5038565058

Facility Classifications & Specialties

Counselor - Mental Health Primary Taxonomy

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active November 24, 2019

NPI status registered as active in NPPES database

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Updated Practice Location November 24, 2019

Registered at 320 N MAIN AVE STE 201B, GRESHAM, OR 970307242 (Tel: 5038565058)

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Updated Business Mailing Address November 24, 2019

Registered at 320 N MAIN AVE STE 201B, GRESHAM, OR 970307242 (Tel: 5038565058)

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Organization / Clinic Name Updated November 24, 2019

Operating as D M COTTRELL LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2019

Counselor

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Initial NPI Registration & Enumeration November 24, 2019

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1356987465

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: November 24, 2019

Last Update: November 24, 2019

Update or Correct Listing

Mailing Address

320 N Main Ave Ste 201b

Gresham, OR 970307242

Phone: 5038565058

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.