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

Jacqueline Robin O'Brien, PHD

Individual provider Clinical Psychologist · NPI 1144735127

Jacqueline Robin O'Brien, PHD is a Clinical Psychologist in Portland, Oregon. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2017
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)

  • 707 Sw Gaines St, Portland, OR 97239-2901 — (503) 494-3818

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3842 (OR)

Record details

NPI number1144735127
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 12, 2017
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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