Active NPI
Claire Tolles, PSYD RESIDENT
- Clinical Psychologist
- Gresham, OR
National Provider Identifier
1265097208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- R244
- Practice address
- 1700 NW Civic Dr Ste 310
Gresham, OR 97030-3774 - Phone
- (503) 666-8832
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | R244 | OR | Primary |
Addresses
Primary practice location
1700 NW Civic Dr Ste 310
Gresham, OR 97030-3774
Mailing address
1411 SW Morrison St Ste 310
Portland, OR 97205-1945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R244 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1265097208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 SW MORRISON ST STE 310",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NW CIVIC DR STE 310",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303774",
"telephone_number": "503-666-8832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLES",
"first_name": "CLAIRE",
"credential": "PSYD RESIDENT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "R244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.