NPI 1053775734 · live from the CMS NPI Registry
Yasaman Ahmadi-Kashani, PhD
Psychologist, Clinical Child & Adolescent in Portland, OR. National Provider Identifier 1053775734, active.
NPI record
| NPI | 1053775734 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 9555 Sw Barnes Rd Ste 301, Portland, OR 97225 |
| Practice phone | 503-535-6311 |
| Mailing address | 2175 Nw Raleigh St Ste 110, Portland, OR 97210 |
| Enumerated | April 8, 2016 |
| Last updated | May 23, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.