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

Psychmed LLC

Organization Clinical Psychologist · NPI 1477862142

Psychmed LLC provides Clinical Psychologist services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
Specialties on file
2
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

2354 SE 59th Ave
Portland, OR 97215-4018 Not confirmed with CMS for 16 years — call before visiting
Phone: (503) 516-9308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1626 (OR)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X

Record details

NPI number1477862142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrice Carrello — Clinical Psychologist · (503) 516-9308
NPI enumeratedSeptember 29, 2010
Last updated in NPPESSeptember 29, 2010
Mailing addressPo Box 12745, Salem, OR 97309-0745

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