Paige L. Marmer, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2614 Issued in OR

Practice address

21900 Willamette Dr Ste 202
West Linn, OR 97068-3284

Phone

(503) 653-0631

Fax

(503) 653-1464

NPI assigned

Dec 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sundstrom Clinical Services LLC

  • Psychologist
  • West Linn, OR
  • NPI 1669508412
  NPD (past)

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1235432832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21900 WILLAMETTE DR STE 202",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683284",
            "telephone_number": "503-653-0631",
            "fax_number": "503-653-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21900 WILLAMETTE DR STE 202",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683284",
            "telephone_number": "503-653-0631",
            "fax_number": "503-653-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMER",
        "first_name": "PAIGE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017624",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannan R Mahlberg, RDH
• Amanda Lynn Maier, LMT
• James Markham, NBC-HIS
• Dawn Marks, NAIL TECH
• Ruth Marie Marleau, N.D.
• Cherie S Martchenke, FNP
• Katelyn Martell, DPT
• Martin Brother, L.Ac.
• Jordan Martin
• Tianna Renee Martinez, LMT

• Clinical Psychologist in West Linn, OR
• Providers in West Linn, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.