BRANDY LEE TIDWELL PHD
NPI 1831510189
Psychologist - Clinical in Portland, OR

Active since January 03, 2014
6536 SE DUKE ST, PORTLAND, OR 97206(503) 406-6546(503) 386-3354 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2025, Jul 4, 2023, Oct 20, 2021 (3 updates tracked since 2021).

About Brandy Lee Tidwell Phd NPPES

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

BRANDY LEE TIDWELL PHD (NPI 1831510189) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3798) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1831510189
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameBRANDY LEE TIDWELLCredential: PHD
Location Address6536 SE DUKE STPortland, OR 97206-6665
Mailing Address6536 Se Duke StPortland, OR 97206-6665 · (503) 406-6546 · Fax (503) 386-3354
Fax(503) 386-3354
Sole ProprietorYes
Enumeration DateJanuary 3, 2014
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
NPI 1831510189 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 · 3798
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.
6536 SE DUKE ST, Portland, OR 97206

Accepted Insurance

Other Providers at the Same Location NPPES 11

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

Marriage & Family Therapist
6536 SE DUKE ST
PORTLAND, OR 97206
Counselor (Mental Health)
6536 SE DUKE ST
PORTLAND, OR 97206
Counselor
6536 SE DUKE ST
PORTLAND, OR 97206
Clinic/Center (Adult Mental Health)
6536 SE DUKE ST
PORTLAND, OR 97206
Student in an Organized Health Care Education/Training Program
6536 SE DUKE ST
PORTLAND, OR 97206
Counselor (Mental Health)
6536 SE DUKE ST
PORTLAND, OR 97206
Social Worker (Clinical)
6536 SE DUKE ST
PORTLAND, OR 97206
Specialist
6536 SE DUKE ST
PORTLAND, OR 97206

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 Brandy Tidwell's NPI number?

The NPI number for Brandy Tidwell is 1831510189. It was assigned to this individual provider in the NPPES registry on January 3, 2014.

Where is Brandy Tidwell located?

Brandy Tidwell practices at 6536 SE Duke St, Portland, OR 97206. The listed phone number is (503) 406-6546.

What is Brandy Tidwell's specialty?

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

What insurance does Brandy Tidwell accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Brandy Tidwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandy Tidwell was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.