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

Mary Lee Nichols PHD LLC

Organization Psychologist · NPI 1861974776

Mary Lee Nichols PHD LLC is a Psychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
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

1133 NW 21st Ave
Portland, OR 97209-1513
Phone: (503) 277-3868
Fax: (503) 650-1892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 949 (OR)

Record details

NPI number1861974776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Winslow — Office Manager · (503) 277-3868
NPI enumeratedSeptember 6, 2018
Last updated in NPPESSeptember 6, 2018
Mailing address1133 Nw 21st Ave, Portland, OR 97209-1513

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