NPI 1174673263 · live from the CMS NPI Registry
Steven Patrick Barry, Ph.D.
Psychologist, Clinical in Portland, OR. National Provider Identifier 1174673263, active.
NPI record
| NPI | 1174673263 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1441 Se 122nd Ave, Suite G, Portland, OR 97233 |
| Practice phone | 503-255-2191 |
| Enumerated | January 11, 2007 |
| Last updated | September 11, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | 0609 (OR) |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.