Organization · Type 2 NPI

Portland Health and Wellness, LLC

Prescribing (Medical) Psychologist · Portland, OR

NPI number 1689884751 Active

Practice location

1821 SE Ankeny St
Portland, OR 97214-1521

Fax (503) 236-4501

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016X1224715-1 (OR)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

About NPI 1689884751

Portland Health and Wellness, LLC's National Provider Identifier is 1689884751, issued on May 23, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Portland, OR. The record was last updated on Aug 22, 2020.