Organization · Type 2 NPI

Lumiere LLC

Clinical Psychologist · Vancouver, WA

NPI number 1124883160 Active

Practice location

9120 NE Vancouver Mall Loop Ste 262
Vancouver, WA 98662-6391

Call (541) 702-7400 Map

Mailing address

6715 NE 63rd St Ste 277
Vancouver, WA 98661-1980

Other practice locations

11905 NE 40th Ave, Vancouver, WA 98686-3152 · (360) 602-2620

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	None listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

2 other providers at this address

Other clinical psychologist providers in Vancouver

See all in Vancouver →

NPI record

NPI: 1124883160
Entity type: Organization (Type 2)
Issued: Feb 19, 2024
Last updated: Jul 11, 2024
Status: Active

Other names

<unavail>
Luminous Healthcare · doing business as
Luminous Healthcare · doing business as

Authorized official

David Opollo Ross, PSYD
Clinical Director
(360) 602-2620

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1124883160

Lumiere LLC's National Provider Identifier is 1124883160, issued on Feb 19, 2024. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Vancouver, WA. The record was last updated on Jul 11, 2024.