Provider Demographics
NPI:1013263201
Name:KOKINDA, MARCELLA (CADCI)
Entity type:Individual
Prefix:
First Name:MARCELLA
Middle Name:
Last Name:KOKINDA
Suffix:
Gender:
Credentials:CADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3572 SE LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-5870
Mailing Address - Country:US
Mailing Address - Phone:360-362-9502
Mailing Address - Fax:
Practice Address - Street 1:6517 NE SANDY BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-4569
Practice Address - Country:US
Practice Address - Phone:360-362-9502
Practice Address - Fax:971-260-2545
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)