Organization · Type 2 NPI

Basic Mindfulness Portland, LLC

Clinical Psychologist · Portland, OR

NPI number 1902128804 Active

Practice location

1920 NW Johnson St, Suite 103
Portland, OR 97209-1325

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1978 (OR)
Clinical Social Worker 1041C0700X4220 (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 1902128804

Basic Mindfulness Portland, LLC's National Provider Identifier is 1902128804, issued on Feb 18, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Feb 18, 2010.