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

Psychmed LLC

Organization Clinical Psychologist · NPI 1477862142

Psychmed LLC is a Clinical Psychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
Specialties on file
2
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

2354 SE 59th Ave
Portland, OR 97215-4018
Phone: (503) 516-9308
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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 1626 (OR)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X

Record details

NPI number1477862142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrice Carrello — Clinical Psychologist · (503) 516-9308
NPI enumeratedSeptember 29, 2010
Last updated in NPPESSeptember 29, 2010
Mailing addressPo Box 12745, Salem, OR 97309-0745

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