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

Individual provider Psychologist · NPI 1265831705

Dr. Serita Backstrand, PSYD is a Clinical Psychologist in Beaverton, Oregon. Qualified in 2015, 11 years ago. Practices as a sole proprietor, works from 2 locations and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
11
Licensed in
OR, WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1791 NW 173rd Ave Ste 140
Beaverton, OR 97006
Phone: (503) 533-9806
Fax: (503) 352-1809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 208 E 25th Street, Vancouver, WA 98663-3219 — (360) 910-1522

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2933 (OR)
Psychologist Taxonomy 103T00000X · Licence PY60776565 (WA)

Record details

NPI number1265831705
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 21, 2014
Last updated in NPPESApril 1, 2019
Mailing address1791 Nw 173rd Ave Ste 140, Beaverton, OR 97006-5630

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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