Organization Active NPI

Swan Psychological and Counseling Services PC

  • Psychologist
  • Beaverton, OR
National Provider Identifier
1962837591
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1308 Issued in OR
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

Updated by the provider on Sep 13, 2013

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.