Organization
PORTLAND PSYCHOTHERAPY PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON LUOMA PH.D. (CEO)
(971) 378-6094
Entity
Organization
Contact information
Practice address
3700 N WILLIAMS AVE, PORTLAND, OR 97227-1441
(503) 281-4852
(503) 575-3711
Mailing address
3700 N WILLIAMS AVE, PORTLAND, OR 97227-1441
(503) 281-4852
(503) 575-3711
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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