Active NPI
Lois Rebecca Propst, PHD
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1134218118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 483
- Practice address
- 9310 SW Place
Portland, OR 97219-6456 - Phone
- (503) 244-4660
- Fax
- (503) 244-8443
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 483 | OR | Primary |
Addresses
Primary practice location
9310 SW Place
Portland, OR 97219-6456
Mailing address
9310 SW Place
Portland, OR 97219-6456
Phone (503) 244-4660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2012 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1134218118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9310 SW PLACE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972196456",
"telephone_number": "503-244-4660",
"fax_number": "503-244-8443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9310 SW PLACE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972196456",
"telephone_number": "503-244-4660",
"fax_number": "503-244-8443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROPST",
"first_name": "LOIS",
"middle_name": "REBECCA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.