Alpenglow Psychiatry P.c.
Psychiatry & Neurology, Child & Adolescent Psychiatry in Portland, Oregon
1417740077- Practice location
- 917 SW Oak St Ste 303, Portland, OR 97205-2806
- Phone
- 503-926-9460
- Fax
- 971-350-1563
- Last updated
- September 30, 2026
Alpenglow Psychiatry P.c. is a healthcare organization based in Portland, OR. The NPI number for Alpenglow Psychiatry P.c. is 1417740077. The current practice location address is 917 SW Oak St Ste 303, Portland, OR 97205-2806 and the office can be reached by phone at 503-926-9460 and by fax at 971-350-1563. The NPI was assigned on May 27, 2025 and the record was last updated in NPPES on September 30, 2026.
●Provider Profile Details
- NPI Number
- 1417740077
- Provider Name
- Alpenglow Psychiatry P.c.
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- Organization Subpart
- No
- Authorized Official
- Dr. Devraux R Boshard, DO · President · 503-926-9460
- Enumeration Date
- May 27, 2025
- Last Update Date
- September 30, 2026
- Certification Date
- September 30, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 917 SW Oak St Ste 303
Portland, OR 97205-2806 - City
- Portland
- State
- Oregon
- ZIP
- 97205-2806
- Country
- US
- Phone Number
- 503-926-9460
- Fax Number
- 971-350-1563
✉Business Mailing Address
- Address
- 5441 S Macadam Ave # 4717
Portland, OR 97239-6106 - City
- Portland
- State
- OR
- ZIP
- 97239-6106
- Phone Number
- 503-926-9460
- Fax Number
- 971-350-1563
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Psychiatry & Neurology, Psychiatry 193200000X - Multi-Specialty Group | 2084P0800X | No | — | — |
| Psychiatry & Neurology, Child & Adolescent Psychiatry 193200000X - Multi-Specialty Group | 2084P0804X | Yes | — | — |
#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 Portland →?Frequently Asked Questions
What is the NPI number of Alpenglow Psychiatry P.c.?
The NPI number of Alpenglow Psychiatry P.c. is 1417740077. It was assigned on May 27, 2025 and is currently active in the NPPES registry.
What is the specialty of Alpenglow Psychiatry P.c.?
Alpenglow Psychiatry P.c. is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X).
Where does Alpenglow Psychiatry P.c. practice?
The practice location is 917 SW Oak St Ste 303, Portland, OR 97205-2806. The office can be reached at 503-926-9460 (phone) or 971-350-1563 (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 1417740077 directly on the NPPES registry website at npiregistry.cms.hhs.gov.