Wellformed AI

NPI 1568870608 · live from the CMS NPI Registry

Babak Govan PHD LLC

Psychologist, Clinical in Portland, OR. National Provider Identifier 1568870608, active.

NPI record

NPI1568870608 Type 2 · organization
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location10260 Sw Greenburg Road, Suite 400, Portland, OR 97223
Practice phone503-575-1317
Mailing address18946 Tuba St, Northridge, CA 91324
EnumeratedJuly 31, 2014
Last updatedApril 6, 2026
Authorized officialBabak Govan, Owner/Psychologist
Other namesIntegrative Nw

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical primary103TC0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.