Organization Active NPI

Paul Myers, PH.D., LLC

  • Adult Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1134633100
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1092 Issued in OR
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

Updated by the provider on Nov 28, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.