Provider Demographics
NPI:1932687472
Name:PORTER, KARL ALAN (LPC)
Entity type:Individual
Prefix:MR
First Name:KARL
Middle Name:ALAN
Last Name:PORTER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:398 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2310
Mailing Address - Country:US
Mailing Address - Phone:541-344-1121
Mailing Address - Fax:541-344-4210
Practice Address - Street 1:398 HIGH ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2310
Practice Address - Country:US
Practice Address - Phone:541-344-1121
Practice Address - Fax:541-344-4210
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC7992101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR50060118703Medicaid