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

Individual provider Clinical Psychologist · NPI 1316246937

Jack Randell Wells, PSYD is a Clinical Psychologist in Portland, Oregon. Licensed in Colorado and Oregon. Registered with an NPI since 2011.

Licensed in
CO, OR
In the registry since
2011
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

9135 SW Barnes Rd Ste 561
Portland, OR 97225-6643
Phone: (503) 216-2339
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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 3238 (OR)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY.0005193 (CO)

Record details

NPI number1316246937
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMarch 22, 2011
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

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