Active NPI
Donald Edward Lange, PH.D.
- Health Service Psychologist
- Portland, OR
National Provider Identifier
1386722247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 644
- Practice address
- 8040 SW Capitol Hill Rd
Portland, OR 97219-2670 - Phone
- (503) 977-9949
- Fax
- (503) 293-2310
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 644 | OR | |
| Health Service Psychologist | 103TH0100X | 644 | OR | Primary |
Addresses
Primary practice location
8040 SW Capitol Hill Rd
Portland, OR 97219-2670
Mailing address
1809 SW Broadleaf Dr
Portland, OR 97219-6370
Phone (503) 245-9748
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 644 | OR | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1386722247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 SW BROADLEAF DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972196370",
"telephone_number": "503-245-9748",
"fax_number": "503-293-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 SW CAPITOL HILL RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972192670",
"telephone_number": "503-977-9949",
"fax_number": "503-293-2310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "DONALD",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OR",
"license": "644",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "OR",
"license": "644",
"primary": true
}
],
"identifiers": [],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.