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

Dr. Katie B McCulloch, PHD

Individual provider Clinical Neuropsychologist · NPI 1013454842

Dr. Katie B McCulloch, PHD is a Clinical Psychologist in Portland, Oregon. Qualified in 2014, 12 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
12
Licensed in
OR, WA
In the registry since
2017
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5228 NE Hoyt St Bldg B2ND
Portland, OR 97213-3055
Phone: (503) 215-4860
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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 2976 (OR)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 60690421 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 60690421 (WA)

Record details

NPI number1013454842
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 31, 2017
Last updated in NPPESApril 9, 2019
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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