Mental Health Therapist

Staley Wood Mims Iii, QMHP MED

2330 Ne Siskiyou St, Portland, Oregon, 97212-2471

About Staley Wood Mims Iii

Staley Wood Mims Iii is a therapist based in Portland, Oregon who is specialized in Mental Health Counselor. His current practice location is 2330 Ne Siskiyou St, Portland. Patients can reach him at 503-528-0757 or can fax him at 503-528-0764. Staley Wood Mims Iii is QMHP MED in Mental Health Counselor and his NPI number (Unique professional ID assigned by NPPES) is 1023155207.

Staley Wood Mims Iii is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.

Practice Information

Staley Wood Mims Iii speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.

Provider Name Staley Wood Mims Iii
Specialization Mental Health Counselor
Credentials QMHP MED
Gender Male
Practice Address: 2330 Ne Siskiyou St,
Portland, OR - 97212-2471
Fax 503-528-0764

Professional Identification Codes

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number1023155207
NPI Enumeration Date: 30 Jan, 2007
NPI Last Update On: 11 Sep, 2025

Medical Licenses:

Healthcare professionals can hold one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Staley Wood Mims Iii are as mentioned below.

License NumberSpecializationStateStatus
Adult Companion Primary
Mental Health Counselor Secondary

Mailing Address

Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned Practice address.

Staley Wood Mims Iii
3602 Se 28th Pl Apt 15,
Portland, OR - 97202-3070
Phone: 503-771-0968

Book an Appointment with Staley Wood Mims Iii

To schedule an appointment, contact Staley Wood Mims Iii at 2330 Ne Siskiyou St, Portland, Oregon or call on below stated phone number.

Call to Book an Appointment

Frequently Asked Questions

Below are some commonly asked questions about Staley Wood Mims Iii:

Staley Wood Mims Iii is a therapist specializing in Adult Companion. He An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Yes, Staley Wood Mims Iii is currently accepting new patients. To schedule an appointment, contact the office directly and schedule an appointment.

Staley Wood Mims Iii practices at 2330 Ne Siskiyou St, Portland, Oregon, 97212-2471.

To schedule an appointment with Staley Wood Mims Iii, please contact the office at 503-528-0757.

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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.