Individual provider Active NPI

Annette U Selmer, MS LPC

  • Psychologist
  • Portland, OR
National Provider Identifier
1316920929
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
CO226 Issued in OR
Practice address
1525 NE Weidler St
Suite 201
Portland, OR 97232-1410
Phone
(503) 525-1150
Fax
(503) 892-9419
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CO226ORMDPsychologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X CO226 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

1525 NE Weidler St
Suite 201
Portland, OR 97232-1410

Mailing address

1525 NE Weidler St
Suite 201
Portland, OR 97232-1410
Phone (503) 525-1150

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
C0226OtherORLPC # STATE BOARD TX
4484OtherNCC NATIONAL NBCC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316920929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 NE WEIDLER ST",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321410",
            "telephone_number": "503-525-1150",
            "fax_number": "503-892-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 NE WEIDLER ST",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321410",
            "telephone_number": "503-525-1150",
            "fax_number": "503-892-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELMER",
        "first_name": "ANNETTE",
        "middle_name": "U",
        "name_prefix": "Ms.",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "CO226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC # STATE BOARD TX",
            "identifier": "C0226",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC NATIONAL NBCC",
            "identifier": "4484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.