Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

360 Pediatric Psychology, PC

Organization Clinical Neuropsychologist · NPI 1902208846

360 Pediatric Psychology, PC is a Clinical Neuropsychologist in Lake Oswego, Oregon. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 B Ave Ste #285
Lake Oswego, OR 97034
Phone: (503) 636-0508
Fax: (503) 636-0387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X
Clinical Neuropsychologist Taxonomy 103G00000X

Record details

NPI number1902208846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tabitha Becker — Clinical Psychologist Coowner/Partn · (503) 720-9234
NPI enumeratedSeptember 23, 2014
Last updated in NPPESSeptember 23, 2014
Mailing address201 B Ave., Suite #285, Lake Oswego, OR 97034

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