Active NPIIndividual providerSole proprietor

Lane Dewan, PSYD

Psychologist, Clinical in Tigard, Oregon

NPI Number1174848022
Practice location
11575 SW Pacific Hwy # 1031, Tigard, OR 97223-8671
Fax
—
Last updated
July 2, 2020

Lane Dewan is a Psychologist, Clinical based in Tigard, OR. Lane Dewan practices in Tigard, OR and has the professional credentials of PSYD. The NPI Number for Lane Dewan is 1174848022 and holds a License No. 1949 (OR). The current practice location address for Lane Dewan is 11575 SW Pacific Hwy # 1031, Tigard, OR 97223-8671 and can be reached out via phone at 503-395-5122.

Provider Profile Details

NPI Number
1174848022
Provider Name
Lane Dewan
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
11575 SW Pacific Hwy # 1031, Tigard, OR 97223-8671
Phone Number
503-395-5122
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 5, 2010
Last Update Date
July 2, 2020
Certification Date
July 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
11575 SW Pacific Hwy # 1031
Tigard, OR 97223-8671
City
Tigard
State
Oregon
Zip
97223-8671
Phone Number
503-395-5122
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
11575 SW Pacific Hwy # 1031
Tigard, OR 97223-8671
City
Tigard
State
OR
Zip
97223-8671
Phone Number
503-395-5122

License Information

License Number
1949
License State
OR
Taxonomy
Psychologist, Clinical · 103TC0700X · 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 Lane Dewan, PSYD?

The NPI number of Lane Dewan, PSYD is 1174848022. It was assigned on April 5, 2010 and is currently active in the NPPES registry.

What is the specialty of Lane Dewan, PSYD?

Lane Dewan, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in OR under license number 1949.

Where does Lane Dewan, PSYD practice?

The practice location is 11575 SW Pacific Hwy # 1031, Tigard, OR 97223-8671. The office can be reached at 503-395-5122 (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 1174848022 directly on the NPPES registry website.

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