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

Mentor Professional Corporation

Organization Clinical Psychologist · NPI 1881813004

Mentor Professional Corporation is a Clinical Psychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007

Practice location Address checks out

818 NW 17th Ave # 11
Portland, OR 97209-2327
Phone: (503) 227-2027
Fax: (503) 227-3836
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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 0947 (OR)

Record details

NPI number1881813004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michaele Dunlap — President · (503) 227-2027
NPI enumeratedApril 25, 2007
Last updated in NPPESAugust 22, 2020
Mailing address818 Nw 17th Ave # 11, Portland, OR 97209-2327

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