ALPENGLOW PSYCHIATRY P.C.
NPI 1417740077
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR

Active since May 27, 2025
5441 S MACADAM AVE # 4717, PORTLAND, OR 97239(503) 926-9460(971) 350-1563 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alpenglow Psychiatry P.c. NPPES

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

ALPENGLOW PSYCHIATRY P.C. (NPI 1417740077) is a healthcare organization registered as a child & adolescent psychiatry in Portland, Oregon and active in the NPI registry since May 2025. The organization lists Devraux R Boshard, President, as its authorized official.

NPPES Registry Identity

NPI1417740077
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameALPENGLOW PSYCHIATRY P.C.
Location Address5441 S MACADAM AVE # 4717Portland, OR 97239-6106
Mailing Address5441 S Macadam Ave # 4717Portland, OR 97239-6106 · (503) 926-9460 · Fax (971) 350-1563
Fax(971) 350-1563
Organization SubpartNo
Authorized OfficialDevraux R BoshardPresident · (503) 926-9460
Enumeration DateMay 27, 2025
NPPES CertifiedMay 21, 2025
NPI 1417740077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
5441 S MACADAM AVE # 4717, Portland, OR 97239

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

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
5441 S MACADAM AVE # 4717
PORTLAND, OR 97239

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 Alpenglow Psychiatry P.C.'s NPI number?

The NPI number for Alpenglow Psychiatry P.C. is 1417740077. It was assigned to this organization in the NPPES registry on May 27, 2025.

Where is Alpenglow Psychiatry P.C. located?

Alpenglow Psychiatry P.C. is located at 5441 S Macadam Ave # 4717, Portland, OR 97239. The listed phone number is (503) 926-9460.

What is Alpenglow Psychiatry P.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Alpenglow Psychiatry P.C. was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.