Organization · Type 2 NPI

Providence Health & Services - Oregon

Cognitive & Behavioral Psychologist · Portland, OR

NPI number 1679697247 Active

Practice location

9155 SW Barnes Rd, Suite 317
Portland, OR 97225-6630

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Cognitive & Behavioral Psychologist Primary 103TB0200XNone listed
Clinic/Center 261Q00000XNone listed

Cognitive & Behavioral Psychologist: 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.

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About NPI 1679697247

Providence Health & Services - Oregon's National Provider Identifier is 1679697247, issued on Mar 19, 2007. The primary taxonomy on file is Cognitive & Behavioral Psychologist (103TB0200X), and the practice location is in Portland, OR. The record was last updated on Jul 4, 2025.