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OMAR GANDARILLA
NPI 1427455534
Psychologist - Clinical Child & Adolescent in Portland, OR

Active since December 04, 2014
17214 SE DIVISION ST, PORTLAND, OR 97236(503) 761-5272(503) 762-6250 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Omar Gandarilla NPPES

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

OMAR GANDARILLA (NPI 1427455534) is an individual clinical child & adolescent provider in Portland, Oregon and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1427455534
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameOMAR GANDARILLA
Location Address17214 SE DIVISION STPortland, OR 97236-1282
Mailing Address14600 Nw Cornell RdPortland, OR 97229-5442
Phone(503) 761-5272
Fax(503) 762-6250
Sole ProprietorNo
Enumeration DateDecember 4, 2014
✔ NPI 1427455534 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
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.
17214 SE DIVISION ST, Portland, OR 97236
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Other Providers at the Same Location NPPES 16

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

MRS. MELISSA SUE BISHOP CADC I
Counselor (Addiction (Substance Use Disorder))
17214 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 761-5272
REBECCA REISS LMHC, LPC
Counselor (Mental Health)
17214 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 761-5272
LINDSAY COONS
Counselor (Addiction (Substance Use Disorder))
17214 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 761-5272
MISS ROBIN MILLER
Case Manager/Care Coordinator
17214 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 761-5272
MOIRA HOLAS
Counselor (Addiction (Substance Use Disorder))
17214 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 761-5272
KRISTINA DENISE STUART MA
Counselor (Mental Health)
17214 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 761-5272
CAREY COGSWELL MSW
Social Worker
17214 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 761-5272
MS. ANDREA ROSE ARAGON I MS. LPCI
Counselor (Mental Health)
17214 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 761-5272

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 Omar Gandarilla's NPI number?

The NPI number for Omar Gandarilla is 1427455534. It was assigned to this individual provider in the NPPES registry on December 4, 2014.

Where is Omar Gandarilla located?

Omar Gandarilla practices at 17214 SE Division St, Portland, OR 97236. The listed phone number is (503) 761-5272.

What is Omar Gandarilla's specialty?

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

When was this NPI record last updated?

The NPPES record for Omar Gandarilla was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.