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PORTLAND PEDIATRIC PSYCHOLOGY, LLC
NPI 1508992652
Community/Behavioral Health in Portland, OR

Active since February 25, 2007
1012 SW KING AVE., PORTLAND, OR 97205(503) 673-6246 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portland Pediatric Psychology, Llc NPPES

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

PORTLAND PEDIATRIC PSYCHOLOGY, LLC (NPI 1508992652) is a healthcare organization registered as a community/behavioral health in Portland, Oregon and active in the NPI registry since February 2007. The organization lists Glori Grubbs Gray, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1508992652
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePORTLAND PEDIATRIC PSYCHOLOGY, LLC
Location Address1012 SW KING AVE.Portland, OR 97205-1106
Mailing Address1012 Sw King Ave., Suite 105Portland, OR 97205-3035 · (503) 673-6246
Phone(503) 673-6246
Organization SubpartNo
Authorized OfficialGlori Grubbs GrayOwner/therapist · (503) 673-6246
Enumeration DateFebruary 25, 2007
Last NPPES UpdateMarch 25, 2015
✔ NPI 1508992652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in OR · 2482
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1012 SW KING AVE., Portland, OR 97205
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Other Identifiers 3

Other135J9NC · Blue Cross Blue Shield
Other3598NC · Carolinas Behavioral Heal
Medicaid6002627NC

Other Providers at the Same Location NPPES

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

DR. ASHLEY ELIZABETH HORACEK MD
Psychiatry & Neurology (Psychiatry)
1012 SW KING AVE., SUITE 305
PORTLAND, OR 97205
Multnomah County (503) 241-8083

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 Portland Pediatric Psychology, LLC's NPI number?

The NPI number for Portland Pediatric Psychology, LLC is 1508992652. It was assigned to this organization in the NPPES registry on February 25, 2007.

Where is Portland Pediatric Psychology, LLC located?

Portland Pediatric Psychology, LLC is located at 1012 SW King Ave., Portland, OR 97205. The listed phone number is (503) 673-6246.

What is Portland Pediatric Psychology, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Portland Pediatric Psychology, LLC was last updated on March 25, 2015. 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.