Provider Demographics
NPI:1558708008
Name:PLATT, MEGHANN CASE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MEGHANN
Middle Name:CASE
Last Name:PLATT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MEGHANN
Other - Middle Name:
Other - Last Name:CASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:3050 SE DIVISION ST
Mailing Address - Street 2:STE 220
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202
Mailing Address - Country:US
Mailing Address - Phone:503-389-3339
Mailing Address - Fax:
Practice Address - Street 1:3050 SE DIVISION ST
Practice Address - Street 2:STE 220
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202
Practice Address - Country:US
Practice Address - Phone:503-389-3339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020064103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical