Organization · Type 2 NPI

Portage Bay Clinic

Clinical Psychologist · Seattle, WA

NPI number 1184319782 Active

Practice location

4500 9th Ave NE Ste 300
Seattle, WA 98105-4762

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	None listed
Adult Mental Health Clinic/Center	261QM0850X	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…

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NPI record

NPI: 1184319782
Entity type: Organization (Type 2)
Issued: Apr 10, 2023
Last updated: Aug 22, 2023
Status: Active

Other names

<unavail>
Jeffrey Arthur Grant · doing business as
Portage Bay Psychotherapy Clinic · doing business as

Authorized official

Dr. Jeffrey Grant, PhD
Owner/practitioner
(206) 890-5040

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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.

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About NPI 1184319782

Portage Bay Clinic's National Provider Identifier is 1184319782, issued on Apr 10, 2023. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Seattle, WA. The record was last updated on Aug 22, 2023.