KIMBERLY NICOLE SKILLICORN PSYD
NPI 1720565526
Psychologist - Clinical in Portland, OR

Q: What is Kimberly Skillicorn's NPI number?

The NPI number for Kimberly Skillicorn is 1720565526. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Q: What is Kimberly Skillicorn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 24, 2018

3550 N INTERSTATE AVE, PORTLAND, OR 97227(503) 331-6357 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 17, 2021, Jul 24, 2018 (2 updates tracked since 2018).

On this page

About Kimberly Nicole Skillicorn Psyd NPPES

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

KIMBERLY NICOLE SKILLICORN PSYD (NPI 1720565526) is an individual clinical provider in Portland, Oregon, licensed in Oregon (2973) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1720565526

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKIMBERLY NICOLE SKILLICORNCredential: PSYD

Location Address3550 N INTERSTATE AVEPortland, OR 97227-1196

Mailing Address2309 5th Ave Apt 404San Diego, CA 92101-1673 · (831) 247-2150

Phone(503) 331-6357

Sole ProprietorNo

Enumeration DateJuly 24, 2018

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

NPPES CertifiedDecember 17, 2021

✔ NPI 1720565526 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 · 2973

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.

3550 N INTERSTATE AVE, Portland, OR 97227

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

JAMES PAUL BRYANT LCSW, CADC 3

Counselor

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (503) 964-0000

ALISON D. ARMOUR PSYD

Psychologist (Clinical)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (503) 813-2000

MS. JESSICA A DUDLEY FNP

Nurse Practitioner (Family)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (503) 746-1575

DANAYA LEE HALL SWHNP

Nurse Practitioner

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (800) 813-2000

MS. JANET LEE MUCKRIDGE RD LD

Dietitian, Registered

3550 N INTERSTATE AVE, NUTRITION DEPARTMENT EAST INTERSTATE
PORTLAND, OR 97227

Multnomah County (503) 286-6871

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Pharmacy (Managed Care Organization Pharmacy)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (866) 279-6122

COURTNEY JOHNSON LCSW

Social Worker (Clinical)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (800) 813-2000

CHIA NENG VANG RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

3550 N INTERSTATE AVE
PORTLAND, OR 97227

Multnomah County (866) 279-6122

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 Skillicorn's NPI number?

The NPI number for Kimberly Skillicorn is 1720565526. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Kimberly Skillicorn located?

Kimberly Skillicorn practices at 3550 N Interstate Ave, Portland, OR 97227. The listed phone number is (503) 331-6357.

What is Kimberly Skillicorn'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 Skillicorn was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.