Individual provider Active NPI

Jean L Linscott, PH D

  • Clinical Psychologist
  • Lake Oswego, OR
National Provider Identifier
1710994785
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1445 Issued in OR
Practice address
4550 Kruse Way
Ste 340
Lake Oswego, OR 97035-3586
Phone
(503) 977-0400
Fax
(503) 635-0583
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1445 OR Primary

Addresses

Primary practice location

4550 Kruse Way
Ste 340
Lake Oswego, OR 97035-3586

Mailing address

4550 Kruse Way
Ste 340
Lake Oswego, OR 97035-3586
Phone (503) 977-0400

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

LicenseStateTypeSpecialty
1445ORMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1710994785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 KRUSE WAY",
            "address_2": "STE 340",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353586",
            "telephone_number": "503-977-0400",
            "fax_number": "503-619-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KRUSE WAY",
            "address_2": "STE 340",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353586",
            "telephone_number": "503-977-0400",
            "fax_number": "503-635-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINSCOTT",
        "first_name": "JEAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 6, 2016; 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.