OrganizationActive
Portland Psychological Assessments, LLC
NPI 1104425354 · Clinical Psychologist · Portland, OR
Provider details
- NPI number
- 1104425354
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jack Wells, Owner(971) 770-1813
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
650 Ne Holladay St Ste 1600
Portland, OR 97232-2035
Phone: (971) 770-1813
Fax: (888) 244-7140
Street-level locationGet directions
Mailing address
650 Ne Holladay St Ste 1600
Portland, OR 97232-2035
Registry dates
- Enumerated
- 2020-10-20
- Last updated
- 2020-10-20
- Certified
- 2020-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.