IndividualActive
Lydia Hogan, PSYD
NPI 1205428174 · Clinical Neuropsychologist · Portland, OR
Provider details
- NPI number
- 1205428174
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- 4122 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
4640 S Macadam Ave Ste 90
Portland, OR 97239-4285
Phone: (503) 292-0765
Approximate (ZIP-level) locationGet directions
Mailing address
14490 Se Wy East Ave
Damascus, OR 97089-7817
Registry dates
- Enumerated
- 2021-02-10
- Last updated
- 2026-04-03
- Certified
- 2026-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.