MEDICARE: PSYCHIATRIST ON-CALL, LLC

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	2084P0800X	Psychiatry Physician	MD165076	OR

General Provider Information

NPI Number	:	1841772233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHIATRIST ON-CALL, LLC

Provider Business Mailing Address
First Line	:	12655 SW CENTER ST STE 150
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97005-1864
Country	:	US
Telephone Number	:	503-832-0945
Fax Number	:

Provider Business Practice Location Address
First Line	:	12655 SW CENTER ST STE 150
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97005-1864
Country	:	US
Telephone Number	:	503-832-0945
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	GILBERT M. SIMAS
Credential	:	MD
Telephone Number	:	503-880-6414

Provider Enumeration Date	:	08/31/2018
Last Update Date	:	08/31/2018

Similar Medicare Providers

1851073464 — LISA MARY CHILDS PMHNP
Practice Location Address:

12655 SW CENTER ST STE 150
BEAVERTON, OR
97005-1864

Practice Phone: 503-832-0945
Practice Fax:

1982077731 — DR. STEPPHINE TILDEN D.C.
Practice Location Address:

12655 SW CENTER ST STE 145
BEAVERTON, OR
97005-1864

Practice Phone: 971-727-8965
Practice Fax:

1912540980 — MR. KYLE EDWARD ANDERSON PMHNP-BC
Practice Location Address:

12655 SW CENTER ST STE 150
BEAVERTON, OR
97005-1864

Practice Phone: 503-832-0945
Practice Fax:

1780211391 — WELLNESS WAY BEAVERTON LLC
Practice Location Address:

12655 SW CENTER ST STE 145
BEAVERTON, OR
97005-1864

Practice Phone: 971-727-8965
Practice Fax:

1700619533 — SAFESPACE LLC
Practice Location Address:

12655 SW CENTER ST STE 145
BEAVERTON, OR
97005-1864

Practice Phone: 619-510-3230
Practice Fax:

1366393837 — LOGAN MICHAEL KAPPAS
Practice Location Address:

4690 SW WASHINGTON AVE
BEAVERTON, OR
97005-0530

Practice Phone: 503-644-3311
Practice Fax:

Directions to “PSYCHIATRIST ON-CALL, LLC ” 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.