ALPENGLOW PSYCHIATRY P.C. NPI 1417740077

NPI Information

  • NPI: 1417740077
  • Provider Name: ALPENGLOW PSYCHIATRY P.C.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Address: 5441 S MACADAM AVE # 4717
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 926-9460

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NPI Details

ALPENGLOW PSYCHIATRY P.C. is a child and adolescent psychiatry psychiatry neurology in Portland, OR. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. ALPENGLOW PSYCHIATRY P.C. NPI is 1417740077. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5441 S MACADAM AVE # 4717
PORTLAND, OR
ZIP 97239-106
Phone: (503) 926-9460
Fax: (971) 350-1563

The provider's authorized official is Devraux R Boshard .
The authorized official title is President and has the following contact phone number (503) 926-9460.

The enumeration date for this NPI number is 5/27/2025 and was last updated on 5/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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