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

Nathan Hantke, PHD

Individual provider Clinical Neuropsychologist · NPI 1265883151

Nathan Hantke, PHD is a Clinical Psychologist in Portland, Oregon. Qualified in 2014, 12 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Oregon.

Years since qualifying
12
Licensed in
CA, OR
In the registry since
2016
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

3303 SW Bond Ave Ste 8
Portland, OR 97239
Phone: (503) 494-7772
Fax: (503) 418-3283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 — (503) 220-8262

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 2970 (OR)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 28285 (CA)

Record details

NPI number1265883151
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 22, 2016
Last updated in NPPESDecember 27, 2018
Mailing address3303 Sw Bond Ave Ste 8, Portland, OR 97239-4501

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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