Individual provider · Type 1 NPI

Brandy Lee Tidwell, PhD

Clinical Psychologist · Portland, OR

NPI number 1831510189 Active

Practice location

6536 SE Duke St
Portland, OR 97206-6665

Call (503) 406-6546 Map

Fax (503) 386-3354

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X3798 (OR)

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 1831510189

Brandy Lee Tidwell, PhD's National Provider Identifier is 1831510189, issued on Jan 3, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Oct 6, 2025.