MEDICARE: ARIANE SOLL PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC2200X	Clinical Child & Adolescent Psychologist
2	103TC0700X	Clinical Psychologist	2541	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205230018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANE SOLL PSYD

Provider Business Mailing Address
First Line	:	16207 S EADEN RD
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-9608
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 BLANKENSHIP RD STE 400
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-5102
Country	:	US
Telephone Number	:	503-659-5515
Fax Number	:	503-594-8193

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2014
Last Update Date	:	04/28/2026

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Directions to “ ARIANE SOLL PSYD” Practice Location

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