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

Somatic Center Portland LLC

Organization Clinical Psychologist · NPI 1104491349

Somatic Center Portland LLC is a Clinical Psychologist in Portland, Oregon. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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

959 SE Division St Ste 315
Portland, OR 97214-4673
Phone: (971) 369-8690
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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
Clinical Psychologist Taxonomy 103TC0700X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1104491349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alissa Bazinet — Clinical Psychologist · (619) 203-8403
NPI enumeratedMay 20, 2021
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021
Mailing address959 Se Division St Ste 315, Portland, OR 97214-4673

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