Healthcare Provider Details

I. General information

NPI: 1790866440
Provider Name (Legal Business Name): ALISON PRYOR PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 03/11/2020
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8535 N LOMBARD ST STE 202
PORTLAND OR
97203-3165
US

IV. Provider business mailing address

9920 NW GERMANTOWN RD
PORTLAND OR
97231-2724
US

V. Phone/Fax

Practice location:
  • Phone: 503-482-9530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: