Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164704433 Individual Practitioner Female Practitioner

Dr. Deborah Kay Pack-Patton , PsyD

Psychologist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Deborah Pack-Patton, PsyD is a registered healthcare professional specializing in Psychologist in Portland, OR. Practice services are available at 5329 NE MARTIN LUTHER KING JR BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5329 Ne Martin Luther King Jr Blvd

Portland, OR 972113237

Telephone 5039885183
Fax 5039885182
Associated Practice Facility / Clinic
🏢 Northeast Health Center Facility NPI 1437531951

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.9 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
300 Specialists

Practicing in Portland, OR (780 Statewide)

Telehealth Adoption Rate
7.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OR 2252

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
22959 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Kristin Cummings , RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013190081

Registered Nurse

Anne Daly , FNP

Nurse Practitioner - Family

NPI 1033262365

Family Nurse Practitioner

Dr. Lisa Sprague , MD

Obstetrics & Gynecology

NPI 1124170386

Doctor of Medicine (M.D.)

Leslie Esinga

Community Health Worker

NPI 1124849526
Alice Johnson , FNP

Nurse Practitioner - Family

NPI 1144373200

Family Nurse Practitioner

Alisa Newhall , FNP

Nurse Practitioner - Family

NPI 1275169229

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2016

Registered at 5329 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 972113237 (Tel: 5039885183)

📍
Updated Business Mailing Address January 03, 2016

Registered at 15823 NE 19TH ST, VANCOUVER, WA 986844517 (Tel: 5036571254)

👤
Provider Name / Credentials Updated January 03, 2016

Recorded as DEBORAH PACK-PATTON, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2016

Psychologist (License #2252 in OR)

🟢
Initial NPI Registration & Enumeration September 13, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164704433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2011
Last Update: January 03, 2016
Sole Proprietor: No

Mailing Address

15823 Ne 19th St

Vancouver, WA 986844517

Phone: 5036571254

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.