360 PEDIATRIC PSYCHOLOGY, PC – Clinical Child & Adolescent Psychologist, NPI 1902208846

360 PEDIATRIC PSYCHOLOGY, PC is a healthcare provider. based in Lake oswego, Oregon. specializing in Clinical Child & Adolescent Psychologist. The NPI Number for 360 PEDIATRIC PSYCHOLOGY, PC is 1902208846

Main info

Organization
Name
360 PEDIATRIC PSYCHOLOGY, PC
NPI
1902208846
Phone
(503) 636-0508
Address
201 B AVE.
Authorized Official
DR. TABITHA SEREUA BECKER CLINICAL PSYCHOLOGIST COOWNER/PARTN PSY. D
Enumeration Date
23 September 2014
Last Update Date
23 September 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:11State licenses:0Digital endpointsOther names

Provider Addresses for 360 PEDIATRIC PSYCHOLOGY, PC

  • 201 B AVE.

    SUITE #285

    LAKE OSWEGO, OR 97034

    Phone: (503) 636-0508

    Fax: (503) 636-0387

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

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

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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 97034)

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Reviews

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Frequently asked questions

What federal number belongs to 360 PEDIATRIC PSYCHOLOGY, PC?
The federal identifier for 360 PEDIATRIC PSYCHOLOGY, PC is NPI 1902208846.
Is 360 PEDIATRIC PSYCHOLOGY, PC's NPI currently valid?
The extract we use shows 360 PEDIATRIC PSYCHOLOGY, PC as active.
Does 360 PEDIATRIC PSYCHOLOGY, PC list a primary specialty?
If you are matching referrals, note Clinical Child & Adolescent Psychologist for 360 PEDIATRIC PSYCHOLOGY, PC. Clinical services aligned with this taxonomy classification.
What location shows for 360 PEDIATRIC PSYCHOLOGY, PC?
We surface Lake Oswego, Oregon for 360 PEDIATRIC PSYCHOLOGY, PC based on available NPPES addresses.
How can I contact 360 PEDIATRIC PSYCHOLOGY, PC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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