Dr Serita Backstrand, PSYD - Psychologist in Beaverton, OR

Dr Serita Backstrand, PSYD is a Psychologist based in Beaverton, Oregon. Dr Serita Backstrand is licensed to practice in Oregon (license number 2933) and her current practice location is 1791 Nw 173rd Ave Ste 140, Beaverton, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 533-9806.

NPI number for Dr Serita Backstrand is 1265831705 and her current mailing address is 1791 Nw 173rd Ave Ste 140, Beaverton, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265831705.

Contact Information

Dr Serita Backstrand, PSYD
1791 Nw 173rd Ave Ste 140,
Beaverton, OR 97006
(503) 533-9806
(503) 352-1809



Healthcare Provider's Profile

Full NameDr Serita Backstrand
GenderFemale
SpecialityPsychologist
Location1791 Nw 173rd Ave Ste 140, Beaverton, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265831705
  • Provider Enumeration Date: 08/21/2014
  • Last Update Date: 04/01/2019

Medical Identifiers

Medical identifiers for Dr Serita Backstrand such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265831705NPI-NPPES
164936MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY60776565 (Washington)Secondary
103T00000XPsychologist 2933 (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 Serita Backstrand 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 AddressPractice Location Address
Dr Serita Backstrand, PSYD
1791 Nw 173rd Ave Ste 140,
Beaverton, OR 97006-5630

Ph: (503) 533-9806
Dr Serita Backstrand, PSYD
1791 Nw 173rd Ave Ste 140,
Beaverton, OR 97006

Ph: (503) 533-9806

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Psychologist in Beaverton, OR

Dr. Sheryl Jane Chomak, PH.D.
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Dr. Allan F. Chino,
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Practice Location: 8285 Sw Nimbus Ave Ste 130, Beaverton, OR 97008
Phone: 503-610-2044    Fax: 503-296-2102
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Phone: 503-526-9304    
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Medicare: Not Enrolled in Medicare
Practice Location: 10445 Sw Canyon Rd, Beaverton, OR 97005
Phone: 971-380-5669    

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