NPI 1780351114 · live from the CMS NPI Registry
Amy Harris Psyd
Psychologist, Clinical in Portland, OR. National Provider Identifier 1780351114, active.
NPI record
| NPI | 1780351114 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 814 Ne 63rd Ave, Portland, OR 97213 |
| Practice phone | 802-238-5337 |
| Enumerated | August 24, 2021 |
| Last updated | August 24, 2021 |
| Authorized official | Amy Harris, Sole Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.