Organization · Type 2 NPI

Cognitive Care Medical Group LLC

Psychiatry Physician · Clackamas, OR

NPI number 1770023186 Active

Practice location

12901 SE 97th Ave Ste 105
Clackamas, OR 97015-7902

Fax (503) 912-4787

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XNone listed
Forensic Psychiatry Physician 2084F0202XNone listed
Psychiatry Physician Primary 2084P0800XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

3 other providers at this address

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About NPI 1770023186

Cognitive Care Medical Group LLC's National Provider Identifier is 1770023186, issued on Mar 3, 2017. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Clackamas, OR. The record was last updated on Mar 4, 2026.