Dr James Lewis Born, PSYD is a
Psychologist - Clinical based in Sandy, Oregon. Dr James Lewis Born is licensed to practice in Oregon (license number 1805) and his current practice location is
36840 Industrial Way, Suite F, Sandy, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 668-5494.
NPI number for Dr James Lewis Born is 1528137056 and his current mailing address is 36840 Industrial Way, Suite F, Sandy, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528137056.
Healthcare Provider's Profile
| Full Name | Dr James Lewis Born |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
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| Location | 36840 Industrial Way, Sandy, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528137056
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 11/04/2010
Medical Identifiers
Medical identifiers for Dr James Lewis Born such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528137056 | NPI | - | NPPES |
| 11566399 | Other | OR | CAQH |
| 500620806 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 2005015536 (Missouri) | Secondary |
| 103T00000X | Psychologist | 994 (Oklahoma) | Secondary |
| 103T00000X | Psychologist | PSY 19940 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1805 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Lewis Born is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr James Lewis Born, PSYD
36840 Industrial Way, Suite F,
Sandy, OR 97055-9254
Ph: (503) 668-5494 | Dr James Lewis Born, PSYD
36840 Industrial Way, Suite F,
Sandy, OR 97055-9254
Ph: (503) 668-5494 |
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