Active NPI
Vanessa Marie Welch-Pemberton, PSY. D.
- Clinical Psychologist
- Camas, WA
National Provider Identifier
1700194149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2918
- Practice address
- 3708 NE 292ND Ave
Camas, WA 98607-8126 - Phone
- (360) 524-2201
- Fax
- (564) 227-3055
- NPI assigned
- Sep 20, 2010
- Sex
- Female
- Sole proprietor
- No
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 Psychologist | 103TC0700X | PY60248926 | WA | |
| Clinical Psychologist | 103TC0700X | 2918 | OR | Primary |
Addresses
Primary practice location
3708 NE 292ND Ave
Camas, WA 98607-8126
Mailing address
800 SW 13TH Ave
Portland, OR 97205
Phone (503) 221-0161
Other names 1
- Vanessa Marie Welch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Keizer, OR 97303
Phone (509) 251-9513
Camas, WA 98607
Phone (509) 251-9513
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60248926 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Clinic | Current | Accepting new patients | |
| Empower Through PLLC | Current | Accepting new patients | |
| Front Street Clinic Inc | Past | Accepting new patients | |
| Wandee J. Pryor, Psy.D., LLC | Past | Accepting new patients |
Locations
800 SW 13th Ave
Portland, OR 97205
Phone (503) 221-0161
5005 NE Sandy Blvd
Portland, OR 97213
Phone (503) 233-6940
9250 SW Hall Blvd
Tigard, OR 97223
Phone (503) 221-0161
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Portland, OR
- NPI 1558379099
-
- Psychologist
- Poulsbo, WA
- NPI 1457532913
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Poulsbo, WA
- NPI 1376043232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1700194149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SW 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-221-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 NE 292ND AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986078126",
"telephone_number": "360-524-2201",
"fax_number": "564-227-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH-PEMBERTON",
"first_name": "VANESSA",
"middle_name": "MARIE",
"credential": "PSY. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60248926",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "WELCH",
"middle_name": "MARIE",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.