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

Portland Psychotherapy Clinic

Organization Psychologist · NPI 1063626315

Portland Psychotherapy Clinic is a Psychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
2

Practice location Address checks out

3700 N Williams Ave
Portland, OR 97227-1441
Phone: (503) 281-4852
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Psychologist Taxonomy 103T00000X · Licence 1661 (OR)

Record details

NPI number1063626315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Luoma — Licensed Psychologist, President · (503) 281-4852
NPI enumeratedMay 9, 2007
Last updated in NPPESMay 3, 2017
Mailing address3700 N Williams Ave, Portland, OR 97227-1441

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