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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: August 16, 2026.

About Kimberly Rideout NPPES

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

KIMBERLY RIDEOUT (NPI 1720276363) is an individual 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.

NPPES Registry Identity

NPI1720276363
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
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
Phone(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.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 2367
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 STE 580, Portland, OR 97239
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Secondary Practice Location 1

Location 12330 NE Siskiyou StPortland, OR 97212-2471 · Phone (502) 528-0757

Other Providers at the Same Location NPPES 9

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

DR. EMILEE ELIZABETH BURGESS PHD
Student in an Organized Health Care Education/Training Program
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
SHIANLING KING PH.D.
Psychologist
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Multnomah County (503) 290-3263
MR. BRIAN ANDREW CHAPMAN LPC
Counselor (Professional)
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
TIFFANY A KERNS RD, LD
Dietitian, Registered
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
RAQUEL FRIEDMAN
Psychologist (Clinical)
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
DANIEL SWENSON LCSW
Social Worker (Clinical)
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
MS. MICHELE TURNER SHARP PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
LEAH SMART GORDON LCSW
Social Worker (Clinical)
5200 SW MACADAM AVE STE 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854

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 Kimberly Rideout's NPI number?

The NPI number for Kimberly Rideout is 1720276363. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Kimberly Rideout located?

Kimberly Rideout practices at 5200 SW Macadam Ave Ste 580, Portland, OR 97239. The listed phone number is (503) 231-7854.

What is Kimberly Rideout'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 Kimberly Rideout was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.