Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Medipsych PC

Organization Psychiatry Physician · NPI 1114824109

Medipsych PC provides Psychiatry Physician services in Beaverton, Oregon. Registered with an NPI since 2026.

In the registry since
2026
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

4145 SW Watson Ave Ste 350
Beaverton, OR 97005-2191
Phone: (971) 256-8590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1114824109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adel Mostafavi — President · (949) 400-2488
NPI enumeratedOctober 22, 2026
Last updated in NPPESOctober 22, 2026
Certification dateOctober 22, 2026
Mailing address15260 Ventura Blvd Ste 1200, Sherman Oaks, CA 91403-5347

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