Active NPIOrganization

Beaverton Psychology Services LLC

Psychologist in Beaverton, Oregon

NPI Number1083905996
Practice location
16110 SW Regatta Ln, Beaverton, OR 97006-8942
Fax
—
Last updated
December 23, 2020

Beaverton Psychology Services LLC is a healthcare organization based in Beaverton, OR. Beaverton Psychology Services LLC practices in Beaverton, OR. The NPI Number for Beaverton Psychology Services LLC is 1083905996 and holds a License No. 811 (OR). The current practice location address for Beaverton Psychology Services LLC is 16110 SW Regatta Ln, Beaverton, OR 97006-8942 and can be reached out via phone at 503-526-2917.

Provider Profile Details

NPI Number
1083905996
Provider Name
Beaverton Psychology Services LLC
Provider Entity Type
Organization
Address
16110 SW Regatta Ln, Beaverton, OR 97006-8942
Phone Number
503-526-2917
Primary Taxonomy
Psychologist · 103T00000X
Organization Subpart
No
Authorized Official
Dr. Terri Lynn Mishler, PSYD · Manager · 503-526-2917
Provider Enumeration Date
April 26, 2011
Last Update Date
December 23, 2020
Certification Date
December 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
16110 SW Regatta Ln
Beaverton, OR 97006-8942
State
Oregon
Zip
97006-8942
Phone Number
503-526-2917
Beaverton, OR 97006Get directions →

Provider Business Mailing Address Details

Address
16110 SW Regatta Ln
Beaverton, OR 97006-8942
City
Beaverton
State
OR
Zip
97006-8942
Phone Number
503-526-2917

License Information

License Number
811
License State
OR
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Beaverton Psychology Services LLC?

The NPI number of Beaverton Psychology Services LLC is 1083905996. It was assigned on April 26, 2011 and is currently active in the NPPES registry.

What is the specialty of Beaverton Psychology Services LLC?

Beaverton Psychology Services LLC is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in OR under license number 811.

Where does Beaverton Psychology Services LLC practice?

The practice location is 16110 SW Regatta Ln, Beaverton, OR 97006-8942. The office can be reached at 503-526-2917 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083905996 directly on the NPPES registry website.

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