Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Banana Slug Psychological Services LLC

Organization Clinical Psychologist · NPI 1154233724

Banana Slug Psychological Services LLC provides Clinical Psychologist services in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

809 N Russell St
Portland, OR 97227-1731
Phone: (971) 225-6650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1154233724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tupelo Witte — Clinical Psychologist · (971) 225-6650
NPI enumeratedSeptember 18, 2026
Last updated in NPPESSeptember 18, 2026
Certification dateSeptember 18, 2026
Mailing address5441 S Macadam Ave Ste R, Portland, OR 97239-3822

Other providers in Portland