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

Dr. Shea Lott, PHD

Individual provider Clinical Neuropsychologist · NPI 1639566391

Dr. Shea Lott, PHD is a Clinical Neuropsychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
Specialties on file
5
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

621 SW Alder St Ste 520
Portland, OR 97205-3620
Phone: (503) 494-4745
Fax: (503) 494-4747
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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 2604 (OR)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 2604 (OR)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 2604 (OR)
Family Psychologist Taxonomy 103TF0000X · Licence 2604 (OR)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 2604 (OR)

Record details

NPI number1639566391
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 21, 2015
Last updated in NPPESJuly 21, 2022

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