Individual provider · Type 1 NPI

Jack Randell Wells, PSYD

Clinical Psychologist · Portland, OR

NPI number 1316246937 Active

Practice location

9135 SW Barnes Rd Ste 561
Portland, OR 97225-6643

Call (503) 216-2339 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X3238 (OR)
Clinical Psychologist 103TC0700XPSY.0005193 (CO)

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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About NPI 1316246937

Jack Randell Wells, PSYD's National Provider Identifier is 1316246937, issued on Mar 22, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on May 13, 2025.