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

Lakeside Serenity Psychiatry, LLC

Organization Psychiatry Physician · NPI 1366308785

Lakeside Serenity Psychiatry, LLC is a Psychiatry Physician in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5441 S.maccadan Ave 8160
Portland, OR 97239
Phone: (917) 265-9614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1366308785
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dallas Upchurch — Owner · (917) 265-9614
NPI enumeratedDecember 30, 2025
Last updated in NPPESDecember 30, 2025
Certification dateDecember 27, 2025
Mailing address821 Kendra Dr, Temple, TX 76502-5878

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