Unknown Individual – Psychologist, NPI 1932295821
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Northeast Sandy Boulevard, Sumner, Portland, Metro, Multnomah County, Oregon, 97220, United States
PMB 375
PORTLAND, OR 972321959
Phone: (503) 284-8841
Fax: (503) 282-3302
Type: Mailing
420, South State Street, Lakewood, Marylhurst, Lake Oswego, Metro, Clackamas County, Oregon, 97034, United States
LAKE OSWEGO, OR 970343938
Phone: (503) 624-5705
Fax: (503) 697-1865
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97232)
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