Northwest Child Assessment, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NORTHWEST CHILD ASSESSMENT, LLC

Practice address

8228 SW 171St PL
Beaverton, OR 97007-6787

Phone

(503) 314-6505

NPI assigned

Nov 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Marion Ruth David, PHDNPI 1740890771

Title

Owner

Phone

(503) 314-6505

Specialties & licenses 1

Addresses

Other names 2

• Marion David, PhD Doing business as
• Northwest Child Assessment and Therapy, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marion David, PHD

  • Psychologist
  • Beaverton, OR
  • NPI 1740890771
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1659916401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8228 SW 171ST PL",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076787",
            "telephone_number": "503-314-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8228 SW 171ST PL",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076787",
            "telephone_number": "503-314-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CHILD ASSESSMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-314-6505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion David, PhD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Child Assessment and Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Northwest Dental Associates, PC
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• Northwest Medical LLC

• Clinical Psychologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.