Portland Psychological Assessments, LLC
NPI 1104425354ActiveOrganization· Psychologist, Clinical· Portland, OR
Psychologist, Clinical in Portland, Oregon, registered in NPPES in October 2020. The authorized official on file is Jack Wells, PSYD, Owner.
Overview
| NPI | 1104425354 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2020 |
| Last updated in NPPES | Oct 20, 2020 |
| Certified by provider | Oct 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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