Active NPI
Olla Psychotherapy, LLC
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1972412575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- OLLA PSYCHOTHERAPY, LLC
- Practice address
- 9500 SW Barbur Blvd Ste 110
Portland, OR 97219-5425 - Phone
- (970) 779-9026
- NPI assigned
- Sep 2, 2026
- 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
- Carl Sallee, PSYD, LP
- Title
- Owner
- Phone
- (970) 779-9026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
9500 SW Barbur Blvd Ste 110
Portland, OR 97219-5425
Mailing address
9500 SW Barbur Blvd Ste 110
Portland, OR 97219-5425
Phone (970) 779-9026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1972412575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 SW BARBUR BLVD STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972195425",
"telephone_number": "970-779-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 SW BARBUR BLVD STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972195425",
"telephone_number": "970-779-9026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLLA PSYCHOTHERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "SALLEE",
"authorized_official_first_name": "CARL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-779-9026",
"authorized_official_credential": "PSYD, LP"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"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 Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.