Individual provider · Type 1 NPI

Tupelo Keilly Witte, MA

Clinical Psychologist · Portland, OR

NPI number 1992463418 Active

Practice location

809 N Russell St
Portland, OR 97227-1731

Mailing address

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X4246 (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 1992463418

Tupelo Keilly Witte, MA's National Provider Identifier is 1992463418, issued on Dec 1, 2021. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Oct 29, 2026.