MEDICARE: DR. KATHLEEN ANNE COMMERFORD PHD

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	711	OR

General Provider Information

NPI Number	:	1699851832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN ANNE COMMERFORD PHD

Provider Business Mailing Address
First Line	:	1827 NE 44TH AVE
Second Line	:	STE 210
City	:	PORTLAND
State	:	OR
Zip	:	97213-1443
Country	:	US
Telephone Number	:	503-249-1350
Fax Number	:	503-284-0792

Provider Business Practice Location Address
First Line	:	1827 NE 44TH AVE
Second Line	:	STE 210
City	:	PORTLAND
State	:	OR
Zip	:	97213-1443
Country	:	US
Telephone Number	:	503-249-1350
Fax Number	:	503-284-0792

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

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	07/16/2018

Similar Medicare Providers

1891487278 — JENNA ANNE ESTEP PCCT
Practice Location Address:

1827 NE 44TH AVE
PORTLAND, OR
97213-1443

Practice Phone: 503-320-7136
Practice Fax: 503-776-7719

1457484024 — DR. MARSHA ANN JOHNSON AU.D.
Practice Location Address:

1827 NE 44TH AVE STE 130
PORTLAND, OR
97213-1443

Practice Phone: 503-234-1221
Practice Fax: 503-234-4227

1972795763 — MRS. ARIANA MEGAN AMES LCSW
Practice Location Address:

1827 NE 44TH AVE STE 230
PORTLAND, OR
97213-1443

Practice Phone: 503-477-4969
Practice Fax:

1780827360 — OREGON TINN & HYPERACUSIS TREATMENT CENTER INC.
Practice Location Address:

1827 NE 44TH AVE , SUITE 130
PORTLAND, OR
97213-1443

Practice Phone: 503-234-1221
Practice Fax: 503-234-4227

1669884003 — EASTSIDE FOOT AND ANKLE
Practice Location Address:

1827 NE 44TH AVE STE 100
PORTLAND, OR
97213-1443

Practice Phone: 503-284-2000
Practice Fax: 503-284-2002

1396150652 — JANA BALAS GOFF DPM
Practice Location Address:

1827 NE 44TH AVE STE 100
PORTLAND, OR
97213-1443

Practice Phone: 503-284-2000
Practice Fax: 503-284-2002

Directions to “ DR. KATHLEEN ANNE COMMERFORD PHD” 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.