Dr. Serita Backstrand, PSYD
Psychologist in Beaverton, Oregon
1265831705- Practice location
- 1791 NW 173RD Ave Ste 140, Beaverton, OR 97006
- Phone
- 503-533-9806
- Fax
- 503-352-1809
- Last updated
- April 1, 2019
Dr. Serita Backstrand, PSYD is a Psychologist based in Beaverton, OR. Dr. Serita Backstrand, PSYD holds the professional credentials of PSYD. The NPI number for Dr. Serita Backstrand, PSYD is 1265831705 and holds license No. PY60776565 (WA). The current practice location address is 1791 NW 173RD Ave Ste 140, Beaverton, OR 97006 and the office can be reached by phone at 503-533-9806 and by fax at 503-352-1809. The NPI was assigned on August 21, 2014 and the record was last updated in NPPES on April 1, 2019.
●Provider Profile Details
- NPI Number
- 1265831705
- Provider Name
- Serita Backstrand
- Credential
- PSYD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Enumeration Date
- August 21, 2014
- Last Update Date
- April 1, 2019
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1791 NW 173RD Ave Ste 140
Beaverton, OR 97006 - City
- Beaverton
- State
- Oregon
- ZIP
- 97006
- Country
- US
- Phone Number
- 503-533-9806
- Fax Number
- 503-352-1809
✉Business Mailing Address
- Address
- 1791 NW 173RD Ave Ste 140
Beaverton, OR 97006-5630 - City
- Beaverton
- State
- OR
- ZIP
- 97006-5630
- Phone Number
- 503-533-9806
- Fax Number
- 503-352-1809
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Psychologist | 103T00000X | No | PY60776565 | WA |
| Psychologist | 103T00000X | Yes | 2933 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Beaverton →?Frequently Asked Questions
What is the NPI number of Dr. Serita Backstrand, PSYD?
The NPI number of Dr. Serita Backstrand, PSYD is 1265831705. It was assigned on August 21, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Serita Backstrand, PSYD?
Dr. Serita Backstrand, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X) and holds license No. PY60776565 (WA).
Where does Dr. Serita Backstrand, PSYD practice?
The practice location is 1791 NW 173RD Ave Ste 140, Beaverton, OR 97006. The office can be reached at 503-533-9806 (phone) or 503-352-1809 (fax).
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 1265831705 directly on the NPPES registry website at npiregistry.cms.hhs.gov.