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PORTLAND HEALTH AND WELLNESS LLC NPI 1689884751


NPI Information

NPI: 1689884751
Provider Name: PORTLAND HEALTH AND WELLNESS, LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
1821 SE ANKENY ST
PORTLAND, OR
ZIP 97214
Phone: (503) 236-4506
Get Directions

PORTLAND HEALTH AND WELLNESS, LLC is a prescribing (medical) psychologist in Portland, OR. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. PORTLAND HEALTH AND WELLNESS, LLC NPI is 1689884751. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1821 SE ANKENY ST
PORTLAND, OR
ZIP 97214-521
Phone: (503) 236-4506
Fax: (503) 236-4501

The provider's authorized official is Joyce E Stilwell .
The authorized official title is Office Manager and has the following contact phone number (503) 236-4506.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP0016XPsychologistPrescribing (Medical)1224715-1OREGONYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.