LANE DEWAN PSY.D.
NPI 1174848022
Psychologist - Clinical in Tigard, OR

Q: What is Lane Dewan's NPI number?

The NPI number for Lane Dewan is 1174848022. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Q: What is Lane Dewan's specialty?

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

Q: Is Lane Dewan enrolled in Medicare?

No. Lane Dewan has opted out of Medicare through December 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lane Dewan was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 05, 2010Opted out of Medicare · through Dec 13, 2027

11575 SW PACIFIC HWY # 1031, TIGARD, OR 97223(503) 395-5122 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lane Dewan Psy.d. NPPES

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

LANE DEWAN PSY.D. (NPI 1174848022) is an individual clinical provider in Tigard, Oregon, licensed in Oregon (1949) and active in the NPI registry since April 2010. She has opted out of Medicare through December 13, 2027 and maintains a secondary practice location in Newberg.

NPPES Registry Identity

NPI1174848022

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLANE DEWANCredential: PSY.D.

Location Address11575 SW PACIFIC HWY # 1031Tigard, OR 97223-8671

Mailing Address11575 Sw Pacific Hwy # 1031Tigard, OR 97223-8671 · (503) 395-5122

Phone(503) 395-5122

Sole ProprietorYes

Enumeration DateApril 5, 2010

Last NPPES UpdateJuly 2, 2020

NPPES CertifiedJuly 2, 2020

✔ NPI 1174848022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 1949

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.

11575 SW PACIFIC HWY # 1031, Tigard, OR 97223

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Secondary Practice Location 1

Location 11901 Esther Street, Hazelden Springbrook Mental HealthNewberg, OR 97132-9529 · Phone (503) 538-1174

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lane Dewan Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 13, 2023 through December 13, 2027.

Opt-Out Effective DateDecember 13, 2023

Opt-Out In Effect ThroughDecember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Lane Dewan's NPI number?

The NPI number for Lane Dewan is 1174848022. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Lane Dewan located?

Lane Dewan practices at 11575 SW Pacific Hwy # 1031, Tigard, OR 97223. The listed phone number is (503) 395-5122.

What is Lane Dewan's specialty?

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

Is Lane Dewan enrolled in Medicare?

No. Lane Dewan has opted out of Medicare through December 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lane Dewan was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.