Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. VAN LE PHAN PH.D.
NPI 1205759511
Psychologist in Portland, OR

Active since August 03, 2026
1800 SW 1ST AVE STE 400, PORTLAND, OR 97201(971) 251-9856(503) 206-6713 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Van Le Phan Ph.d. NPPES

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

DR. VAN LE PHAN PH.D. (NPI 1205759511) is an individual psychologist in Portland, Oregon and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1205759511
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. VAN LE PHANCredential: PH.D.
Location Address1800 SW 1ST AVE STE 400Portland, OR 97201-5355
Mailing Address3331 Cardinal Lake DrDuluth, GA 30096-3943
Fax(503) 206-6713
Sole ProprietorYes
Enumeration DateAugust 3, 2026
NPPES CertifiedAugust 3, 2026
NPI 1205759511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1800 SW 1ST AVE STE 400, Portland, OR 97201

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1800 SW 1ST AVE STE 400
PORTLAND, OR 97201
Psychologist (Clinical Child & Adolescent)
1800 SW 1ST AVE STE 400
PORTLAND, OR 97201

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 Van Phan's NPI number?

The NPI number for Van Phan is 1205759511. It was assigned to this individual provider in the NPPES registry on August 3, 2026.

Where is Van Phan located?

Van Phan practices at 1800 SW 1st Ave Ste 400, Portland, OR 97201. The listed phone number is (971) 251-9856.

What is Van Phan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Van Phan was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.