Active NPI
Paul Myers, PH.D., LLC
- Adult Mental Health Clinic/Center
- Portland, OR
National Provider Identifier
1134633100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 1092
- Legal business name
- PAUL MYERS, PH.D., LLC
- Practice address
- 5441 SW Macadam Ave Ste 104
Portland, OR 97239-3821 - Phone
- (503) 381-6685
- Fax
- (503) 248-6385
- NPI assigned
- Nov 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Ryan Myers, PH.D.
- Title
- Owner/Provider
- Phone
- (503) 381-6685
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 1092 | OR | Primary |
Addresses
Primary practice location
5441 SW Macadam Ave Ste 104
Portland, OR 97239-3821
Mailing address
5441 SW Macadam Ave Ste 104
Portland, OR 97239-3821
Phone (503) 381-6685
National Provider Directory
National Provider DirectoryLocations
5441 S Macadam Ave
Ste 104
Portland, OR 97239
Phone (503) 248-4511
2105 NE Cesar E Chavez Blvd
Ste 250
Portland, OR 97212
Phone (503) 381-6685
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Portland, OR
- NPI 1316166481
-
- Psychologist
- Portland, OR
- NPI 1881791226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511827200000",
"number": "1134633100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5441 SW MACADAM AVE STE 104",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393821",
"telephone_number": "503-381-6685",
"fax_number": "503-248-6385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 SW MACADAM AVE STE 104",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393821",
"telephone_number": "503-381-6685",
"fax_number": "503-248-6385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL MYERS, PH.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-28",
"last_updated": "2017-11-28",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "503-381-6685",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "OR",
"license": "1092",
"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 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.