SOOBIN IM
NPI 1245844356
Psychologist - Clinical Child & Adolescent in Portland, OR

Q: What is Soobin Im's NPI number?

The NPI number for Soobin Im is 1245844356. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Q: What is Soobin Im's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Soobin Im was last updated on September 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 September 04, 2020

6443 SW BEAVERTON HILLSDALE HWY STE 300, PORTLAND, OR 97221(503) 452-8002 Get Directions Write a Review

NPPES record last updated: September 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2024, Sep 4, 2020 (2 updates tracked since 2020).

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About Soobin Im NPPES

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

SOOBIN IM (NPI 1245844356) is an individual clinical child & adolescent provider in Portland, Oregon, licensed in Oregon (3792) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1245844356

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameSOOBIN IM

Location Address6443 SW BEAVERTON HILLSDALE HWY STE 300Portland, OR 97221-4210

Mailing Address6443 Sw Beaverton Hillsdale Hwy Ste 300Portland, OR 97221-4210 · (503) 452-8002

Phone(503) 452-8002

Sole ProprietorYes

Enumeration DateSeptember 4, 2020

Last NPPES UpdateSeptember 22, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2024

✔ NPI 1245844356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in OR · 3792

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

6443 SW BEAVERTON HILLSDALE HWY STE 300, Portland, OR 97221

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 7

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

LAINE TOWELL PSYD

Psychologist (Clinical)