PROVIDENCE COGNITIVE ASSESSMENT CLINIC – Cognitive & Behavioral Psychologist, NPI 1679697247

PROVIDENCE COGNITIVE ASSESSMENT CLINIC is a healthcare provider. based in Portland, Oregon. specializing in Cognitive & Behavioral Psychologist. The NPI Number for PROVIDENCE COGNITIVE ASSESSMENT CLINIC is 1679697247

Main info

Organization
Name
PROVIDENCE COGNITIVE ASSESSMENT CLINIC
NPI
1679697247
Phone
Not provided
Address
PO BOX 3158
Authorized Official
DONALD WAYNE ANDERSON JR. ASSISTANT SECREATRY FOR ENROLLMENT
Enumeration Date
19 March 2007
Last Update Date
4 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness90
Years active:19State licenses:0Digital endpoints

Provider Addresses for PROVIDENCE COGNITIVE ASSESSMENT CLINIC

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • PO BOX 31001 - 4180

    PASADENA, CA 911104180

    Phone:

    Type: Mailing

  • 9155 SW BARNES RD

    SUITE 317

    PORTLAND, OR 972256630

    Phone: (503) 216-1150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97208)

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Frequently asked questions

What unique ID ties claims to PROVIDENCE COGNITIVE ASSESSMENT CLINIC?
NPI 1679697247 is assigned to PROVIDENCE COGNITIVE ASSESSMENT CLINIC under the national enumeration system.
Does this profile mean PROVIDENCE COGNITIVE ASSESSMENT CLINIC is currently active?
Yes — PROVIDENCE COGNITIVE ASSESSMENT CLINIC appears active in the national provider directory.
Does PROVIDENCE COGNITIVE ASSESSMENT CLINIC list a primary specialty?
If you are matching referrals, note Cognitive & Behavioral Psychologist for PROVIDENCE COGNITIVE ASSESSMENT CLINIC. Clinical services aligned with this taxonomy classification.
What location shows for PROVIDENCE COGNITIVE ASSESSMENT CLINIC?
We surface Portland, Oregon for PROVIDENCE COGNITIVE ASSESSMENT CLINIC based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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