Portland Psychotherapy Clinic
NPI 1063626315 · Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Portland Psychotherapy Clinic is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Portland, OR (NPI 1063626315).
Provider details
- NPI number
- 1063626315
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Luoma, Licensed Psychologist, President(503) 281-4852
- License
- 1661 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2017-05-03
Frequently asked questions
- What is Portland Psychotherapy Clinic's NPI number?
- Portland Psychotherapy Clinic's National Provider Identifier (NPI) is 1063626315, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portland Psychotherapy Clinic?
- Portland Psychotherapy Clinic is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Portland Psychotherapy Clinic located?
- Portland Psychotherapy Clinic's practice location on file with NPPES is 3700 N Williams Ave, Portland, OR 97227-1441.
- What is Portland Psychotherapy Clinic's phone number?
- The practice phone number listed in the NPPES registry for Portland Psychotherapy Clinic is (503) 281-4852.
- Does Portland Psychotherapy Clinic accept Medicare?
- Portland Psychotherapy Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Portland Psychotherapy Clinic?
- The authorized official listed on Portland Psychotherapy Clinic's NPPES record is Jason Luoma, Licensed Psychologist, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portland Psychotherapy Clinic's NPI active?
- Yes — Portland Psychotherapy Clinic's NPI (1063626315) is active in the NPPES registry as of the last update on 2017-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.