Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dynamic Therapy Alliance, LLC

Organization Clinical Social Worker · NPI 1356136642

Dynamic Therapy Alliance, LLC provides Clinical Social Worker services in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2404 SE 113th Ave
Portland, OR 97216-4042
Phone: (971) 259-8022
Fax: (971) 484-4002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1356136642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Kinman — Licensed Clinical Social Worker · (970) 258-0220
NPI enumeratedApril 9, 2025
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address2404 Se 113th Ave Apt A, Portland, OR 97216-4042

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