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

Lydia Hogan, PSYD

Individual provider Clinical Neuropsychologist · NPI 1205428174

Lydia Hogan, PSYD is a Clinical Psychologist in Portland, Oregon. Qualified in 2024, 2 years ago. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2021
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

4640 S Macadam Ave Ste 90
Portland, OR 97239-4285
Phone: (503) 292-0765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 4122 (OR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 4122 (OR)

Record details

NPI number1205428174
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedFebruary 10, 2021
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address14490 Se Wy East Ave, Damascus, OR 97089-7817

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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