Organization Active NPI

Portland Psychiatry LLC

  • Psychiatry Physician
  • Vancouver, WA
National Provider Identifier
1881516573
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Jul 27, 2026

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.