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

Psychological Health Services, PC

Organization Psychologist · NPI 1205139854

Psychological Health Services, PC provides Psychologist services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10000 SE Main St Ste 148
Portland, OR 97216-2462 Not confirmed with CMS for 12 years — call before visiting
Phone: (971) 678-3941
Fax: (503) 252-2720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 612 (OR)

Record details

NPI number1205139854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Lundy — Psychologist · (971) 678-3941
NPI enumeratedDecember 20, 2010
Last updated in NPPESNovember 24, 2013
Mailing addressPo Box 92004, Portland, OR 97292-2004

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