A Dragonfly Mind, LLC – Clinical Neuropsychologist

Key facts

NPI: 1730623729
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Neuropsychologist 103G00000X
License: 071009422 (IL)
Legal business name: A DRAGONFLY MIND, LLC
Practice address: 10260 SW Greenburg Rd Ste 400
Portland, OR 97223-5514
Phone: (773) 669-8378
Fax: (888) 977-2162
NPI assigned: Dec 9, 2016
Organization subpart: No

Authorized official

Name: Dr. Marcia R. Zumbahlen, PH.D. NPI 1528266673
Title: Owner/Clinical Neuropsychologist
Phone: (773) 669-8378

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Marcia R. Zumbahlen, PH.D., IMHC Clinical Neuropsychologist · Portland, OR · NPI 1528266673

NPD Authorized official CLINICAL NEUROPSYCHOLOGIST

National Provider Directory

Locations

4801 W Peterson Ave
Ste 301
Chicago, IL 60646
Phone (773) 202-1616

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Neuropsychologist Group: 193200000X MULTI-SPECIALTY GROUP	103G00000X	071009422	IL	Yes
Clinical Neuropsychologist Group: 193200000X MULTI-SPECIALTY GROUP	103G00000X	082604	IA
Clinical Neuropsychologist Group: 193200000X MULTI-SPECIALTY GROUP	103G00000X

Addresses

Primary practice location

10260 SW Greenburg Rd Ste 400
Portland, OR 97223-5514

Mailing address

2849 SW Spring Garden St
Portland, OR 97219-3984
Phone (217) 369-1334

Other practice location 1

1603 Orrington Ave Ste 600
Evanston, IL 60201-3860
Phone (773) 669-8378

Other practice location 2

2005 SE 192nd Ave Ste 200
Camas, WA 98607-7475
Phone (773) 669-8378

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	drz@adragonflymind.com	Direct

Other providers in Portland, OR

All providers in Portland, OR · Clinical Neuropsychologist in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.