Healthcare Provider Details

I. General information

NPI: 1992014120
Provider Name (Legal Business Name): DANIEL LUKE DOWLING PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2010
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 SE 163RD PL
PORTLAND OR
97233-4062
US

IV. Provider business mailing address

1206 SE 163RD PL
PORTLAND OR
97233-4062
US

V. Phone/Fax

Practice location:
  • Phone: 503-383-1035
  • Fax: 971-447-0949
Mailing address:
  • Phone: 503-383-1035
  • Fax: 971-447-0949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSYC.PY.70101154
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2552
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: