Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Lee Nichols PHD LLC

Organization Psychologist · NPI 1861974776

Mary Lee Nichols PHD LLC provides Psychologist services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1133 NW 21st Ave
Portland, OR 97209-1513
Phone: (503) 277-3868
Fax: (503) 650-1892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 949 (OR)

Record details

NPI number1861974776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Winslow — Office Manager · (503) 277-3868
NPI enumeratedSeptember 6, 2018
Last updated in NPPESSeptember 6, 2018
Mailing address1133 Nw 21st Ave, Portland, OR 97209-1513

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