Active NPI
Katherine Virginia Eichner, PH.D
- Clinical Psychologist
- Tigard, OR
National Provider Identifier
1215423165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2934
- Practice address
- 9860 SW Hall Blvd Ste B
Tigard, OR 97223 - Phone
- (860) 305-8934
- NPI assigned
- Jul 3, 2018
- 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 | 2934 | OR | Primary |
Addresses
Primary practice location
9860 SW Hall Blvd Ste B
Tigard, OR 97223
Mailing address
3609 SE 42ND Ave Apt 3
Portland, OR 97206-3287
Phone (860) 305-8934
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 Jun 15, 2023 through Jun 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2934 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1215423165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 SE 42ND AVE APT 3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972063287",
"telephone_number": "860-305-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9860 SW HALL BLVD STE B",
"city": "TIGARD",
"state": "OR",
"postal_code": "97223",
"telephone_number": "860-305-8934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHNER",
"first_name": "KATHERINE",
"middle_name": "VIRGINIA",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.