Individual
KRISTA LYNN GAUTSCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2525 NW LOVEJOY ST, PORTLAND, OR 97210-2859
(503) 563-3420
(971) 209-7262
Mailing address
916 SW KING AVE STE 206, PORTLAND, OR 97205-1332
(503) 841-8678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L6037
OR
Other
Enumeration date
03/17/2011
Last updated
04/15/2026
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