TAMARA PEDERSON PHD
NPI 1093756546
Psychologist - Clinical in Portland, OR

Q: What is Tamara Pederson's NPI number?

The NPI number for Tamara Pederson is 1093756546. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Tamara Pederson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Tamara Pederson was last updated on December 30, 2016. 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.

Active since June 08, 2006

2701 NW VAUGHN STREET, SUITE 360, PORTLAND, OR 97210(503) 227-0671(503) 227-0676 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tamara Pederson Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMARA PEDERSON PHD (NPI 1093756546) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1995) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1093756546

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameTAMARA PEDERSONCredential: PHD

Location Address2701 NW VAUGHN STREET, SUITE 360Portland, OR 97210

Mailing Address2701 Nw Vaughn Street, Suite 360Portland, OR 97210 · (503) 227-0671 · Fax (503) 227-0676

Phone(503) 227-0671

Fax(503) 227-0676

Sole ProprietorNo

Enumeration DateJune 8, 2006

Last NPPES UpdateDecember 30, 2016

✔ NPI 1093756546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in OR · 1995✔ Licensed in NH · 801

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2701 NW VAUGHN STREET, Portland, OR 97210

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Other Identifiers 3

Medicaid30423720NH

Medicare ID-Type UnspecifiedRE4226NH

Medicare UPINS26335NH

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 Tamara Pederson's NPI number?

The NPI number for Tamara Pederson is 1093756546. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Tamara Pederson located?

Tamara Pederson practices at 2701 NW Vaughn Street Suite 360, Portland, OR 97210. The listed phone number is (503) 227-0671.

What is Tamara Pederson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Tamara Pederson was last updated on December 30, 2016. 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.