Organization Active NPI

Lucent Psychiatry

  • Psychiatry Physician
  • Lake Oswego, OR
National Provider Identifier
1275314668
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LUCENT PSYCHIATRY
Practice address
311 B Ave Ste R
Lake Oswego, OR 97034-3071
Phone
(503) 213-6167
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Jonathan Wilson, MDNPI 1861887549
Title
Coo
Phone
(503) 213-6167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

311 B Ave Ste R
Lake Oswego, OR 97034-3071

Mailing address

311 B Ave Ste R
Lake Oswego, OR 97034-3071

National Provider Directory

National Provider Directory

Locations

311 B Ave
Ste R
Lake Oswego, OR 97034
Phone (503) 213-6167

Practitioners & affiliated clinicians

Practitioners 1

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": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1275314668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 B AVE STE R",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 B AVE STE R",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343071",
            "telephone_number": "503-213-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCENT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "503-213-6167",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.