Organization Active NPI

Julia Bishop-Tall LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Oswego, OR
National Provider Identifier
1548748825
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JULIA BISHOP-TALL LLC
Practice address
14523 Westlake Dr Ste 25
Lake Oswego, OR 97035-7700
Phone
(503) 966-5660
Fax
(503) 713-5770
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Dr. Julia C Bishop-Tall, DNP, PMHNP-BCNPI 1386071801
Title
Owner
Phone
(206) 697-0843

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

14523 Westlake Dr Ste 25
Lake Oswego, OR 97035-7700

Mailing address

14925 SW Barrows Rd.
Ste 109 #137
Beaverton, OR 97007-7565
Phone (503) 966-5660

Other names 1

  • Counterbalance Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

14925 SW Barrows Rd
Ste 109
Beaverton, OR 97007
Phone (503) 454-6904

14925 SW Barrows Rd
Beaverton, OR 97007

14523 Westlake Dr
Ste 4
Lake Oswego, OR 97035
Phone (503) 744-4952

14523 Westlake Dr
Ste 25
Lake Oswego, OR 97035
Phone (503) 854-7160

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": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1548748825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14925 SW BARROWS RD.",
            "address_2": "STE 109 #137",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970077565",
            "telephone_number": "503-966-5660",
            "fax_number": "503-713-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14523 WESTLAKE DR STE 25",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357700",
            "telephone_number": "503-966-5660",
            "fax_number": "503-713-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA BISHOP-TALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "BISHOP-TALL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-697-0843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counterbalance Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 11, 2022; 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.