Provider Demographics
NPI:1639699432
Name:HUTCHENS, MELISSA (MS, LPC, CADC-I)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:HUTCHENS
Suffix:
Gender:F
Credentials:MS, LPC, CADC-I
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:811 NW 20TH AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-1452
Mailing Address - Country:US
Mailing Address - Phone:503-974-3330
Mailing Address - Fax:503-397-5373
Practice Address - Street 1:811 NW 20TH AVE STE 204
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-1452
Practice Address - Country:US
Practice Address - Phone:503-974-3330
Practice Address - Fax:503-397-5373
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health