Darryn Marie Sikora, PHD
Individual provider Active NPI Clinical Psychologist · Portland, OR
NPI 1518972017 · NPPES record last updated Jul 11, 2007
Key facts
- NPI
- 1518972017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 957 (OR)
- Practice address
- 707 SW Gaines St
Portland, OR 97239-2901 - Phone
- (800) 452-3563
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunbreak Therapy Services, Inc | Current |
Accepting new patients |
Locations
366 N Holly St
Canby, OR 97013
Phone (503) 266-1030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 957 | OR | Yes |
Addresses
Primary practice location
707 SW Gaines St
Portland, OR 97239-2901
Mailing address
707 SW Gaines St
Portland, OR 97239-2901
Phone (503) 494-2749
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295711 | Medicaid | OR |
Other providers in Portland, OR
- Larissa Siirila
- David A. Siker
- Marvin Wayne Sikes
- Sandra Ballew Sikes
- Monica Kumari Sikka
- Gary Michael Silberbach
- Adam Philip Silberman
- Paul David Silberman
- Elizabeth Wang Silbermann
- Rebecca Wang Silbermann
All providers in Portland, OR · Clinical Psychologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.