COLLECTIVE CARE CLINIC LLC NPI 1780221499

NPI Information

  • NPI: 1780221499
  • Provider Name: COLLECTIVE CARE CLINIC, LLC
  • Classification: Psychologist - 103TB0200X
  • Specialization: Cognitive & Behavioral
  • Entity Type: Organization
  • Address: 1130 SW MORRISON ST STE 619
    PORTLAND, OR
    ZIP 97205
  • Phone: (503) 313-0028

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NPI Details

COLLECTIVE CARE CLINIC, LLC is a cognitive and behavioral psychologist in Portland, OR. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. COLLECTIVE CARE CLINIC, LLC NPI is 1780221499. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1130 SW MORRISON ST STE 619
PORTLAND, OR
ZIP 97205-217
Phone: (503) 313-0028

The provider's authorized official is Jill Ashley Davidson .
The authorized official title is PSYCHOLOGIST / OWNER/ Owner and has the following contact phone number (503) 313-0028.

The enumeration date for this NPI number is 12/2/2019 and was last updated on 12/2/2019.

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
1103TB0200XPsychologistCognitive & BehavioralYes

What is NPI?

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This page was last updated on: 11/21/2025

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