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

Susan Marie Stormer, PHD

Individual provider Clinical Psychologist · NPI 1689611154

Susan Marie Stormer, PHD is a Clinical Psychologist in Portland, Oregon. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
28
Licensed in
OR, WA
In the registry since
2006
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

1130 SW Morrison St Ste 328
Portland, OR 97205-2214
Phone: (503) 902-5000
Fax: (971) 930-8530
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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 2800 (OR)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY61341034 (WA)

Record details

NPI number1689611154
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 1, 2006
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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