NPI 1205428174

Lydia Hogan, PSYD

Practitioner Clinical Neuropsychologist Portland, OR

Practice location

Address: 4640 S Macadam Ave STE 90, Portland, OR 97239-4285
Phone: (503) 292-0765
Mailing address: 14490 SE Wy East Ave, Damascus, OR 97089-7817

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 4122 (OR)

Other Clinical Neuropsychologist providers in Oregon →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 4122 (OR)

Other Psychologist providers in Oregon →

Registry record

NPI: 1205428174
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2021
Record last updated: 3 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.