Active NPI
Swan Psychological and Counseling Services PC
- Psychologist
- Beaverton, OR
National Provider Identifier
1962837591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1308
- Legal business name
- SWAN PSYCHOLOGICAL AND COUNSELING SERVICES PC
- Practice address
- 4900 SW Griffith Dr Ste 161
Beaverton, OR 97005-4648 - Phone
- (503) 641-4546
- NPI assigned
- Sep 13, 2013
- 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
- Dr. Don W Swan, PSYD
- Title
- President/Secretary
- Phone
- (503) 641-4546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1308 | OR | Primary |
Addresses
Primary practice location
4900 SW Griffith Dr Ste 161
Beaverton, OR 97005-4648
Mailing address
4900 SW Griffith Dr Ste 161
Beaverton, OR 97005-4648
Phone (503) 641-4546
National Provider Directory
National Provider DirectoryLocations
4900 SW Griffith Dr
Ste 161
Beaverton, OR 97005
Phone (503) 526-0138
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Beaverton, OR
- NPI 1609090901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379030400000",
"number": "1962837591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 SW GRIFFITH DR STE 161",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970054648",
"telephone_number": "503-641-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 SW GRIFFITH DR STE 161",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970054648",
"telephone_number": "503-641-4546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWAN PSYCHOLOGICAL AND COUNSELING SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-13",
"last_updated": "2013-09-13",
"status": "A",
"authorized_official_last_name": "SWAN",
"authorized_official_first_name": "DON",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT/SECRETARY",
"authorized_official_telephone_number": "503-641-4546",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "OR",
"license": "1308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.