Active NPI
Sonia C Izmirian, PH.D.
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1932481538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3858
- Practice address
- 1750 SW Skyline Blvd Ste 201
Portland, OR 97221-2545 - Phone
- (503) 894-9630
- Fax
- (833) 642-0439
- NPI assigned
- Sep 9, 2011
- Last updated
- Nov 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3858 | OR | Primary |
| Clinical Psychologist | 103TC0700X | 4874 | CO |
Addresses
Primary practice location
1750 SW Skyline Blvd Ste 201
Portland, OR 97221-2545
Mailing address
1750 SW Skyline Blvd Ste 201
Portland, OR 97221-2545
Phone (503) 894-9630
Other practice location 1
1750 SW Skyline Blvd Ste 201
Portland, OR 97221-2545
Phone (503) 894-9630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4874 | CO | MD | Clinical Psychologist |
| 3858 | OR | MD | Health Service Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Incorporated | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cohen Veteran's Clinic at CU
- Psychiatry Physician
- Greenwood Village, CO
- NPI 1033614581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1932481538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 SW SKYLINE BLVD STE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212545",
"telephone_number": "503-894-9630",
"fax_number": "833-642-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 SW SKYLINE BLVD STE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212545",
"telephone_number": "503-894-9630",
"fax_number": "833-642-0439"
}
],
"practiceLocations": [
{
"address_1": "1750 SW Skyline Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972212545",
"country_code": "US",
"telephone_number": "503-894-9630",
"fax_number": "833-642-0439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IZMIRIAN",
"first_name": "SONIA",
"middle_name": "C",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "3858",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "4874",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.