Individual provider · NPI-1

Melinda Byrd, PsyD

Psychologist · Lake Oswego, OR

NPI number1992830376
StatusActive
Last updated in NPPESJan 16, 2024

Details

NPI
1992830376
Entity type
Individual (NPI-1)
Name
Ms. Melinda Byrd
Credential
PsyD
Sex
Female
Sole proprietor
No
Enumeration date
Feb 23, 2007
Certification date
Jan 16, 2024
Last updated
Jan 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist3791ORYes
103T00000X Psychologist––

Practice location

14523 Westlake Drive
Suite 5
Lake Oswego, OR 97035-7700

Phone 503-807-1103 · Fax 503-620-5369

Mailing address

14523 Westlake Drive
Suite 5
Lake Oswego, OR 97035-7700

Phone 503-807-1103 · Fax 503-620-5369

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