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

Individual provider Clinical Psychologist · NPI 1639742554

Elizabeth Anne Bistrong, PHD is a Clinical Psychologist in Portland, Oregon. Works from 2 locations. Licensed in New York and Oregon.

Licensed in
NY, OR
In the registry since
2021
Specialties on file
2
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

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (800) 452-3563
Fax: (503) 494-4447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 E 17th St, New York, NY 10003-3804 — (904) 329-9543

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3994 (OR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 024765 (NY)

Record details

NPI number1639742554
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 19, 2021
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

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