MEDICARE: CAROL JO STUART 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	1072	OR

General Provider Information

NPI Number	:	1629291307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL JO STUART PSY.D.

Provider Business Mailing Address
First Line	:	PO BOX 2607
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97208-2607
Country	:	US
Telephone Number	:	503-827-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2188 SW PARK PL
Second Line	:	205
City	:	PORTLAND
State	:	OR
Zip	:	97205-1100
Country	:	US
Telephone Number	:	503-827-4800
Fax Number	:

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

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1023089810 — MRS. LINDA CLIFFORD ROCKWELL MSW LCSW BCD
Practice Location Address:

2188 SW PARK PL , SUITE 301
PORTLAND, OR
97205-1100

Practice Phone: 503-241-3606
Practice Fax: 503-294-0899

1881769610 — DR. JAMIE LEVIN-EDWARDS PSY.D.
Practice Location Address:

1220 SW MORRISON ST STE 1100
PORTLAND, OR
97205-2230

Practice Phone: 503-222-0557
Practice Fax:

1740345198 — DR. DEBRA PEARCE MCCALL PH.D.
Practice Location Address:

1220 SW MORRISON ST , SUITE 1100
PORTLAND, OR
97205-2235

Practice Phone: 503-515-7817
Practice Fax:

1861527145 — MS. KATHARINE MCWANE DOEL LCSW
Practice Location Address:

2188 SW PARK PL STE 201
PORTLAND, OR
97205-1100

Practice Phone: 503-544-6267
Practice Fax:

1194857789 — DR. STANDISH MCCLEARY III PH.D.
Practice Location Address:

2188 SW PARK PL , SUITE 200
PORTLAND, OR
97205-1100

Practice Phone: 503-228-0688
Practice Fax: 503-203-1023

1760601710 — DUNBAR SCOTT CARPENTER PSY.D.
Practice Location Address:

2188 SW PARK PL , SUITE 304
PORTLAND, OR
97205-1100

Practice Phone: 503-220-0991
Practice Fax:

Directions to “ CAROL JO STUART PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.