A Dragonfly Mind, LLC
Clinical Neuropsychologist in Portland, Oregon
1730623729- Practice location
- 10260 SW Greenburg RD Ste 400, Portland, OR 97223-5514
- Phone
- 773-669-8378
- Fax
- 888-977-2162
- Last updated
- November 8, 2021
A Dragonfly Mind, LLC is a healthcare organization based in Portland, OR. The NPI number for A Dragonfly Mind, LLC is 1730623729 and holds license No. 082604 (IA). The current practice location address is 10260 SW Greenburg RD Ste 400, Portland, OR 97223-5514 and the office can be reached by phone at 773-669-8378 and by fax at 888-977-2162. The NPI was assigned on December 9, 2016 and the record was last updated in NPPES on November 8, 2021.
●Provider Profile Details
- NPI Number
- 1730623729
- Provider Name
- A Dragonfly Mind, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinical Neuropsychologist · 103G00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Marcia R. Zumbahlen, PHD · Owner/Clinical Neuropsychologist · 773-669-8378
- Enumeration Date
- December 9, 2016
- Last Update Date
- November 8, 2021
- Certification Date
- November 8, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 10260 SW Greenburg RD Ste 400
Portland, OR 97223-5514 - City
- Portland
- State
- Oregon
- ZIP
- 97223-5514
- Country
- US
- Phone Number
- 773-669-8378
- Fax Number
- 888-977-2162
✉Business Mailing Address
- Address
- 2849 SW Spring Garden St
Portland, OR 97219-3984 - City
- Portland
- State
- OR
- ZIP
- 97219-3984
- Phone Number
- 217-369-1334
- Fax Number
- 888-977-2162
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Clinical Neuropsychologist 193200000X - Multi-Specialty Group | 103G00000X | No | 082604 | IA |
| Clinical Neuropsychologist 193200000X - Multi-Specialty Group | 103G00000X | No | — | — |
| Clinical Neuropsychologist 193200000X - Multi-Specialty Group | 103G00000X | Yes | 071009422 | IL |
#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 A Dragonfly Mind, LLC?
The NPI number of A Dragonfly Mind, LLC is 1730623729. It was assigned on December 9, 2016 and is currently active in the NPPES registry.
What is the specialty of A Dragonfly Mind, LLC?
A Dragonfly Mind, LLC is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X) and holds license No. 082604 (IA).
Where does A Dragonfly Mind, LLC practice?
The practice location is 10260 SW Greenburg RD Ste 400, Portland, OR 97223-5514. The office can be reached at 773-669-8378 (phone) or 888-977-2162 (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 1730623729 directly on the NPPES registry website at npiregistry.cms.hhs.gov.