Healthcare Provider Details

I. General information

NPI: 1487568085
Provider Name (Legal Business Name): BIRCHSTONE PSYCHOTHERAPY AND ASSESSMENT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 E 19TH ST
VANCOUVER WA
98663-3301
US

IV. Provider business mailing address

207 E 19TH ST
VANCOUVER WA
98663-3301
US

V. Phone/Fax

Practice location:
  • Phone: 360-448-5318
  • Fax:
Mailing address:
  • Phone: 360-448-5318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRANDON FIELDING
Title or Position: PARTNER
Credential: PHD, LICSW
Phone: 360-448-5318