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

Kimberly Nicole Skillicorn, PSYD

Individual provider Clinical Psychologist · NPI 1720565526

Kimberly Nicole Skillicorn, PSYD is a Clinical Psychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
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

3550 N Interstate Ave
Portland, OR 97227-1196
Phone: (503) 331-6357
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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 2973 (OR)

Record details

NPI number1720565526
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 24, 2018
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021

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