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

Dr. Shea Lott, PHD

Individual provider Clinical Neuropsychologist · NPI 1639566391

Dr. Shea Lott, PHD is a Clinical Neuropsychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
Specialties on file
5
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

621 SW Alder St Ste 520
Portland, OR 97205-3620
Phone: (503) 494-4745
Fax: (503) 494-4747
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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 2604 (OR)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 2604 (OR)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 2604 (OR)
Family Psychologist Taxonomy 103TF0000X · Licence 2604 (OR)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 2604 (OR)

Record details

NPI number1639566391
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 21, 2015
Last updated in NPPESJuly 21, 2022
Mailing address621 Sw Alder Street, Ste 520, Portland, OR 97205

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