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Portland Pediatric Psychology, LLC

Community/Behavioral Health Agency in Portland, OR · enumerated 2007 · authorized official Glori Gray, Owner/Therapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508992652

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Registry record

Entity type Organization (Type 2)
Legal business name Portland Pediatric Psychology, LLC
Practice address 1012 Sw King Ave., Portland, OR, 97205
Enumeration date Feb 25, 2007
Last updated in NPPES Mar 25, 2015

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies · License 2482 (OR) Primary

Authorized official

Name Glori Gray
Title Owner/Therapist

Other identifiers

Identifier Type State Issuer
3598 Other NC CAROLINAS BEHAVIORAL HEAL
135J9 Other NC BLUE CROSS BLUE SHIELD
6002627 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Portland Pediatric Psychology, LLC?
Portland Pediatric Psychology, LLC is registered in NPPES as a Community/Behavioral Health Agency (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-25.