Northwest Psychiatric Group, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD22975 Issued in OR

Legal business name

NORTHWEST PSYCHIATRIC GROUP, PC

Practice address

921 SW Washington St
Suite 460
Portland, OR 97205-2827

Phone

(503) 827-0298

Fax

(503) 827-0299

NPI assigned

Oct 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lance Emanuel Anderson, M.D.NPI 1891980918

Title

Owner

Phone

(503) 827-0298

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lance Emanuel Anderson, MD

  • Psychiatry Physician
  • Portland, OR
  • NPI 1891980918
  NPD (past) Authorized official
• Karma L Brooks, MSW, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1053503409
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215024377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SW WASHINGTON ST",
            "address_2": "SUITE 460",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052827",
            "telephone_number": "503-827-0298",
            "fax_number": "503-827-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SW WASHINGTON ST",
            "address_2": "SUITE 460",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052827",
            "telephone_number": "503-827-0298",
            "fax_number": "503-827-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PSYCHIATRIC GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-827-0298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD22975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Permanente
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• Northwest Primary Care Group PC
• Northwest Primary Care Group PC
• Northwest Recovery Services LLC
• Northwest Regenerative Orthopedics
• Northwest Rehab Alliance
• Northwest Renal Clinic, Inc.
• Northwest Renal Clinic, Inc.

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.