KIMBERLY RIDEOUT
NPI 1720276363
Psychologist - Clinical in Portland, OR

Active since October 09, 2007
5200 SW MACADAM AVE STE 580, PORTLAND, OR 97239(503) 231-7854 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kimberly Rideout NPPES

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

KIMBERLY RIDEOUT (NPI 1720276363) is a clinical provider in Portland, Oregon, licensed in Oregon (2367) and active in the NPI registry since October 2007. She maintains a secondary practice location in Portland.Information from the official NPPES registry record, last updated November 7, 2018.

NPPES Registry Identity

NPI1720276363
Entity TypeIndividualFemale
Provider Legal NameKIMBERLY RIDEOUT
Location Address5200 SW MACADAM AVE STE 580Portland, OR 97239-3837
Mailing Address5200 Sw Macadam Ave Ste 580Portland, OR 97239-3837 · (503) 231-7854
Sole ProprietorYes
Enumeration DateOctober 9, 2007
Last NPPES UpdateNovember 7, 2018
NPI 1720276363 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Psychologist · Clinical

Taxonomy 103TC0700X · Behavioral Health & Social Service Providers

Licensed in OR · 2367

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training,… Show more

5200 SW MACADAM AVE STE 580, Portland, OR 97239

Also on File with NPPES

Secondary Location1
2330 NE Siskiyou St
Portland, OR 97212-2471
Phone (502) 528-0757

Reviews for KIMBERLY RIDEOUT

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Psychologist
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Nurse Practitioner (Psychiatric/Mental Health)
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Dietitian, Registered
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Social Worker (Clinical)
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Social Worker (Clinical)
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Counselor (Mental Health)
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Counselor (Professional)
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Psychologist (Clinical)
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720276363, enumerated as an "individual" on October 09, 2007.

The provider is located at 5200 SW MACADAM AVE STE 580 PORTLAND, OR 97239 and the phone number is (503) 231-7854.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.