PORTLAND PSYCHOTHERAPY CLINIC
NPI 1063626315
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR
About Portland Psychotherapy Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORTLAND PSYCHOTHERAPY CLINIC (NPI 1063626315) is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since May 2007. The organization lists Jason Luoma, Licensed Psychologist, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Portland Psychotherapy Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Portland Psychotherapy Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Portland Psychotherapy Clinic's NPI number?
The NPI number for Portland Psychotherapy Clinic is 1063626315. It was assigned to this organization in the NPPES registry on May 9, 2007.
Where is Portland Psychotherapy Clinic located?
Portland Psychotherapy Clinic is located at 3700 N Williams Ave, Portland, OR 97227. The listed phone number is (503) 281-4852.
What is Portland Psychotherapy Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Portland Psychotherapy Clinic enrolled in Medicare?
Yes. Portland Psychotherapy Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Portland Psychotherapy Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Portland Psychotherapy Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (3) and Clinical Social Worker (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Portland Psychotherapy Clinic was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Portland Psychotherapy Clinic · NPI 1063626315
Mental Health (Including Community Mental Health Center) organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since May 9, 2007.
## Identity
- **NPI:** 1063626315 (Entity type: Organization)
- **Enumerated:** May 9, 2007
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Jason Luoma, LICENSED PSYCHOLOGIST, PRESIDENT
## Practice location
- **Address:** 3700 N WILLIAMS AVE, Portland, OR 97227-1441
- **Phone:** (503) 281-4852
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (3), Clinical Social Worker (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 3, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1063626315) · Data from the CMS NPPES public registry.