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

Embodied Psychotherapy Inc

Organization Clinical Psychologist · NPI 1376963652

Embodied Psychotherapy Inc is a Clinical Psychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3050 SE Division St Ste 210
Portland, OR 97202-1451
Phone: (503) 577-2842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2135 (OR)

Record details

NPI number1376963652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Weymouth — Clinical Psychologist · (503) 577-2842
NPI enumeratedApril 24, 2014
Last updated in NPPESApril 24, 2014
Mailing address3050 Se Division St, Suite 210, Portland, OR 97202-1451

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