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INTEGRATED PSYCHOLOGICAL SERVICES OF THE PACIFIC NORTHWEST
NPI 1962071647
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

Active since June 17, 2021
1130 NW 12TH AVE APT 614, PORTLAND, OR 97209(503) 505-7227(503) 564-0739 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Integrated Psychological Services Of The Pacific Northwest NPPES

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

INTEGRATED PSYCHOLOGICAL SERVICES OF THE PACIFIC NORTHWEST (NPI 1962071647), doing business as Portland Pain Psychology, is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Portland and lists Dennis Kurtz, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1962071647
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameINTEGRATED PSYCHOLOGICAL SERVICES OF THE PACIFIC NORTHWEST
Location Address1130 NW 12TH AVE APT 614Portland, OR 97209-2860
Mailing Address9209 N Mckenna AvePortland, OR 97203-2651 · (503) 505-7227 · Fax (503) 564-0739
Phone(503) 505-7227
Fax(503) 564-0739
Organization SubpartNo
Authorized OfficialDennis KurtzOperations Manager · (503) 505-7227
Enumeration DateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1962071647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1130 NW 12TH AVE APT 614, Portland, OR 97209
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Other Names 1

Doing Business AsPortland Pain Psychology

Secondary Practice Location 1

Location 19209 N McKenna AvePortland, OR 97203-2651 · Phone (503) 505-7227 · Fax (503) 564-0739

Other Providers at the Same Location NPPES 3

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

ERICA DANIELLE GROSSMAN MS, LPC
Counselor (Mental Health)
1130 NW 12TH AVE APT 614
PORTLAND, OR 97209
Multnomah County (503) 505-7227
DR. FREDERICK DANIEL GROSSMAN PHD
Psychologist (Clinical)
1130 NW 12TH AVE APT 614
PORTLAND, OR 97209
Multnomah County (503) 505-7227
DENNIS KURTZ JR. PSYD
Psychologist (Clinical)
1130 NW 12TH AVE APT 614
PORTLAND, OR 97209
Multnomah County (503) 505-7227

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 Integrated Psychological Services Of The Pacific Northwest's NPI number?

The NPI number for Integrated Psychological Services Of The Pacific Northwest is 1962071647. It was assigned to this organization in the NPPES registry on June 17, 2021. The provider is doing business as Portland Pain Psychology.

Where is Integrated Psychological Services Of The Pacific Northwest located?

Integrated Psychological Services Of The Pacific Northwest is located at 1130 NW 12th Ave Apt 614, Portland, OR 97209. The listed phone number is (503) 505-7227.

What is Integrated Psychological Services Of The Pacific Northwest's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Integrated Psychological Services Of The Pacific Northwest was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.