Erika Doty

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

2471 Issued in OR

Practice address

630 B Ave Ste 2
Lake Oswego, OR 97034-2960

Phone

(503) 387-6116

Fax

(503) 387-3941

NPI assigned

Oct 23, 2014

Last updated

Jun 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 360 Pediatric Psychology, PC

  • Clinical Child & Adolescent Psychologist
  • Lake Oswego, OR
  • NPI 1902208846
  NPD (past)

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1730584558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 B AVE STE 2",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342960",
            "telephone_number": "503-387-6116",
            "fax_number": "503-387-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 B AVE STE 2",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342960",
            "telephone_number": "503-387-6116",
            "fax_number": "503-387-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "ERIKA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "2471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Doron
• Madelyn Dorrell, LMT, CA
• Sarah Brooke Dorsey, LCSW
• Nicholas G Dose, D.M.D.
• Melainie T Dottin
• Deeann Elizabeth Dougherty, PT
• Douglas Counseling P.a.
• Campbell Leigh Dow
• Dr Jeffrey B Van Orman
• Dr Jen Cicilian LLC

• Clinical Child & Adolescent Psychologist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinical Child & Adolescent Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.