MEDICARE: DR. ANGELA LYNN HARMAN PSY.D.

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	103T00000X	Psychologist	1924	OR

General Provider Information

NPI Number	:	1629200274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA LYNN HARMAN PSY.D.

Provider Business Mailing Address
First Line	:	1219 SE LAFAYETTE ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97202-3802
Country	:	US
Telephone Number	:	503-765-5733
Fax Number	:

Provider Business Practice Location Address
First Line	:	1219 SE LAFAYETTE ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97202-3802
Country	:	US
Telephone Number	:	503-765-5733
Fax Number	:	971-244-8583

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

Provider Enumeration Date	:	08/16/2009
Last Update Date	:	12/19/2023

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