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MENTOR PROFESSIONAL CORPORATION
NPI 1881813004
Psychologist - Clinical in Portland, OR

Active since April 25, 2007
818 NW 17TH AVE # 11, PORTLAND, OR 97209(503) 227-2027(503) 227-3836 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mentor Professional Corporation NPPES

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

MENTOR PROFESSIONAL CORPORATION (NPI 1881813004) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since April 2007. The organization lists Michaele P. Dunlap, President, as its authorized official.

NPPES Registry Identity

NPI1881813004
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMENTOR PROFESSIONAL CORPORATION
Location Address818 NW 17TH AVE # 11Portland, OR 97209-2327
Mailing Address818 Nw 17th Ave # 11Portland, OR 97209-2327 · (503) 227-2027 · Fax (503) 227-3836
Phone(503) 227-2027
Fax(503) 227-3836
Organization SubpartNo
Authorized OfficialMichaele P. DunlapPresident · (503) 227-2027
Enumeration DateApril 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881813004 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 · 0947
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.
818 NW 17TH AVE # 11, Portland, OR 97209
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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 Mentor Professional Corporation's NPI number?

The NPI number for Mentor Professional Corporation is 1881813004. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Mentor Professional Corporation located?

Mentor Professional Corporation is located at 818 NW 17th Ave # 11, Portland, OR 97209. The listed phone number is (503) 227-2027.

What is Mentor Professional Corporation's specialty?

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

What insurance does Mentor Professional Corporation accept?

Health plans from Moda Health Plan, Inc. list Mentor Professional Corporation 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 Mentor Professional Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.