EVERGREEN CLINICAL
NPI 1386943587
Psychologist - Clinical in Portland, OR

Q: What is Evergreen Clinical's NPI number?

The NPI number for Evergreen Clinical is 1386943587. It was assigned to this organization in the NPPES registry on March 28, 2011.

Q: What is Evergreen Clinical's specialty?

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

Active since March 28, 2011

5200 SW MACADAM AVE, SUITE 160, PORTLAND, OR 97239(503) 236-6218(503) 715-5649 Get Directions Write a Review

NPPES record last updated: March 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Evergreen Clinical NPPES

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

EVERGREEN CLINICAL (NPI 1386943587) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since March 2011. The organization lists Brian C Goff, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1386943587

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameEVERGREEN CLINICAL

Location Address5200 SW MACADAM AVE, SUITE 160Portland, OR 97239-6103

Mailing Address5200 Sw Macadam Ave, Suite 160Portland, OR 97239-6103 · (503) 236-6218 · Fax (503) 715-5649

Phone(503) 236-6218

Fax(503) 715-5649

Organization SubpartNo

Authorized OfficialBrian C GoffOwner/director · (503) 224-0482

Enumeration DateMarch 28, 2011

✔ NPI 1386943587 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 · 1407

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.

5200 SW MACADAM AVE, Portland, OR 97239

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MS. BETSY E TRUMBULL LCSW

Social Worker (Clinical)

5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239

Multnomah County (503) 231-7854

MR. LANDON MICHAELS PSY.D.

Psychologist

5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239

Multnomah County (503) 231-7854

MS. ANNETTE KATHLEEN SABATER P.T.

Physical Therapist

5200 SW MACADAM AVE, STE 100, THERAPY SOLUTIONS FOR KIDS
PORTLAND, OR 97239

Multnomah County (503) 224-1998

MRS. TRACY MARIE JENDRITZA PSY D

Psychologist (Clinical)

5200 SW MACADAM AVE, # 580
PORTLAND, OR 97239

Multnomah County (503) 231-7854

MS. SOONIE ANN KIM PHD

Psychologist

5200 SW MACADAM AVE, #580
PORTLAND, OR 97239

Multnomah County (503) 231-7854

MARGARET CATHERINE DONOVAN PHYSICAL THERAPIST

Physical Therapist

5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239

Multnomah County (503) 224-1998

AMY JENNIFER MALIA CROCKFORD

Student in an Organized Health Care Education/Training Program

5200 SW MACADAM AVE, # 580
PORTLAND, OR 97239

Multnomah County (503) 231-7854

MRS. LESLEY ELIZABETH FREELING PT

Physical Therapist (Pediatrics)

5200 SW MACADAM AVE
PORTLAND, OR 97239

Multnomah County (503) 224-1998

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 Evergreen Clinical's NPI number?

The NPI number for Evergreen Clinical is 1386943587. It was assigned to this organization in the NPPES registry on March 28, 2011.

Where is Evergreen Clinical located?

Evergreen Clinical is located at 5200 SW Macadam Ave Suite 160, Portland, OR 97239. The listed phone number is (503) 236-6218.

What is Evergreen Clinical'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 Evergreen Clinical was last updated on March 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.