Active NPI
Robert Linhares, PHD
- Psychologist
- Portland, OR
National Provider Identifier
1558693465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSYCHOL RESIDENT
- Practice address
- 905 NW 20TH Ave
Portland, OR 97209-1440 - Phone
- (971) 221-3489
- NPI assigned
- Feb 2, 2010
- Last updated
- Feb 2, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSYCHOL RESIDENT | OR | Primary |
Addresses
Primary practice location
905 NW 20TH Ave
Portland, OR 97209-1440
Mailing address
PO Box 15219
Portland, OR 97293-5219
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYCHOL RESIDENT | OR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1558693465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15219",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972935219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 NW 20TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091440",
"telephone_number": "971-221-3489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINHARES",
"first_name": "ROBERT",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-02",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "PSYCHOL RESIDENT",
"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 Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.