Iratze Aguilar Martinez

Individual provider Active NPI Mental Health Counselor · Gresham, OR

NPI 1780422741 · NPPES record last updated May 19, 2025

Key facts

NPI
1780422741
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
831 NW Council Dr Ste 300
Gresham, OR 97030-3725
Phone
(503) 258-4200
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Child and Family Services Past
since Jul 21, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

831 NW Council Dr Ste 300
Gresham, OR 97030-3725

Mailing address

11035 NE Sandy Blvd
Portland, OR 97220-2553
Phone (503) 258-4200

Other providers in Gresham, OR

All providers in Gresham, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.