Active NPI
Portland Psychiatry LLC
- Psychiatry Physician
- Vancouver, WA
National Provider Identifier
1881516573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PORTLAND PSYCHIATRY LLC
- Practice address
- 13215 SE Mill Plain Blvd Ste C81101
Vancouver, WA 98684-6991 - Phone
- (253) 385-3710
- Fax
- (352) 329-4293
- NPI assigned
- Jul 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaskirat Singh Sidhu, MD
- Title
- Owner
- Phone
- (253) 385-3710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
13215 SE Mill Plain Blvd Ste C81101
Vancouver, WA 98684-6991
Mailing address
12303 NE 107TH Way
Vancouver, WA 98682-3145
Phone (253) 385-3710
National Provider Directory
National Provider DirectoryLocations
13215 SE Mill Plain Blvd
Ste C81101
Vancouver, WA 98684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1881516573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12303 NE 107TH WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986823145",
"telephone_number": "253-385-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13215 SE MILL PLAIN BLVD STE C81101",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846991",
"telephone_number": "253-385-3710",
"fax_number": "352-329-4293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTLAND PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "SIDHU",
"authorized_official_first_name": "JASKIRAT",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-385-3710",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.