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Contact Information

PORTLAND HEALTH AND REHABILITATION PSYCHOLOGY, LLC
5901 S MACADAM AVE STE 100
PORTLAND, OR97239-3620
 Phone: 503-567-4952
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PORTLAND HEALTH AND REHABILITATION PSYCHOLOGY, LLC

NPI # 1720962426
LBN Legal business name PORTLAND HEALTH AND REHABILITATION PSYCHOLOGY, LLC
Authorized official REBECCA WILBUR - (LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2025
Last updated 08/05/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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