Individual provider Active NPI

Dianaly Galvez-Hernandez, MA

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1851868053
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
R7737 Issued in OR
Practice address
3434 S Kelly Ave
Portland, OR 97239-4630
Phone
(503) 908-3012
Fax
(503) 908-2382
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X R7737 OR Primary

Addresses

Primary practice location

3434 S Kelly Ave
Portland, OR 97239-4630

Mailing address

5285 Meadows Rd Ste 170
Lake Oswego, OR 97035-3478
Phone (503) 726-5216

Other names 1

  • Dianaly Galvez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422002534 OR Practitioner - Marriage and Family Therapist 7315462330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
R7737ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sapphire Blue Behavioral Health Solutions CurrentSince May 1, 2025 Accepting new patients
Evermore Mental Wellness, LLC Marriage & Family Therapist CurrentSince Nov 7, 2025 Accepting new patients
Rose City Therapists LLC Past Accepting new patients

Locations

5285 Meadows Rd
Ste 170
Lake Oswego, OR 97035
Phone (503) 276-5216

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1851868053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5285 MEADOWS RD STE 170",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353478",
            "telephone_number": "503-726-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 S KELLY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394630",
            "telephone_number": "503-908-3012",
            "fax_number": "503-908-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVEZ-HERNANDEZ",
        "first_name": "DIANALY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "R7737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANALY",
            "last_name": "GALVEZ",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.