NPI 1386106771 · live from the CMS NPI Registry
Erica Aten, PsyD
Psychologist, Clinical Child & Adolescent in Portland, OR. National Provider Identifier 1386106771, active.
NPI record
| NPI | 1386106771 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 905 Se 14th Ave, Portland, OR 97214 |
| Practice phone | 503-622-8964 |
| Mailing address | 1006 Ne Madrona St, Portland, OR 97211 |
| Enumerated | April 3, 2019 |
| Last updated | November 20, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 3170 (OR) |
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | 071009896 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.