Brian Tucker, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2023 Issued in OR

Practice address

1020 SW Taylor St Ste 670
Portland, OR 97205-2526

Phone

(971) 801-9855

Fax

(866) 470-1615

NPI assigned

Oct 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1902095185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 670",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052526",
            "telephone_number": "971-801-9855",
            "fax_number": "866-470-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 670",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052526",
            "telephone_number": "971-801-9855",
            "fax_number": "866-470-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22117",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keiran Keith Tuck, MD
• Tucker & Fisher Management LLC
• Tucker-Maxon Oral School
• Alexander Tucker, D.C.
• Ali Tucker
• Christopher Thomas Tucker, LPC
• Ellen Tucker, PT, DPT
• Fara Tucker, LCSW
• Juanita Tucker, QMHP
• Margie Nicole Lloyd Tucker, MD

• Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.