Serita Backstrand, PSY.D

Psychologist · Beaverton, OR

Individual Active NPI

NPI number 1265831705

Practice location

1791 NW 173rd Ave Ste 140
Beaverton, OR 97006
Phone
(503) 533-9806
Fax
(503) 352-1809

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NPI record

NPI
1265831705
Entity type
Individual (Type 1)
Enumeration date
August 21, 2014
Last updated
April 1, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 2933 OR
Psychologist 103T00000X PY60776565 WA

Mailing address

1791 NW 173rd Ave Ste 140
Beaverton, OR 97006-5630
Phone
(503) 533-9806
Fax
(503) 352-1809

Other practice locations (1)

  • 208 E 25th Street, NW Family Psychology, LLC, Vancouver, WA 98663-3219 · (360) 910-1522 ext. 3001

About Dr. Backstrand

Serita Backstrand, PSY.D is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1791 NW 173rd Ave Ste 140, Beaverton, OR 97006. The NPI number 1265831705 was assigned on August 21, 2014 and the record was last updated on April 1, 2019.

Dr. Backstrand lists 2 licenses in the registry: #2933 (OR) for Psychologist; #PY60776565 (WA) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Serita Backstrand, PSY.D?

The NPI number is 1265831705.

What is the phone number of Dr. Backstrand?

The phone number listed for the practice location is (503) 533-9806.

Where is Dr. Backstrand located?

1791 NW 173rd Ave Ste 140, Beaverton, OR 97006.

What is the taxonomy code for Dr. Backstrand?

The primary taxonomy code is 103T00000X – Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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