Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLENE EICKHOLT, PH.D.
Active Sole ProprietorDR. CHARLENE EICKHOLT, PH.D. is a Child, Clinical Psychologist healthcare provider located in PORTLAND, Oregon. NPI 1851532139 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · PORTLAND, OR
Registration Details
- NPI Number
- 1851532139
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2009 (17.444018979503 yrs)
- Last Updated
- Mar 16, 2009
- License
-
PSY1323 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1405 NE BROADWAYSUITE # 200PORTLAND, OR, 972321497Browse OR providers · Browse ZIP 97232
- Phone
- 5032885516
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Other Child, Clinical Psychologist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. ERIC JAY OGLESBEE | PSYD | 1588648224 |
| MR. REDMOND ANDREW REAMS | PH.D. | 1518904457 |
| DR. SHIRLEY MAY HANSON | PMHNP, PHD | 1578588539 |
| DR. STEVEN ALLAN WAKSMAN | PH.D. | 1801985775 |
| DR. ELEANOR GIL-KASHIWABARA | PSY.D. | 1326196940 |
| NICHOLAS JOHN URE | L.P.A. | 1972654697 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.