Myco Van, PSYD - Psychologist in Portland, OR

Myco Van, PSYD is a Psychologist - Clinical based in Portland, Oregon. Myco Van is licensed to practice in Oregon (license number 1791) and her current practice location is 1500 Ne Irving St, Suite 250, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 233-4356.

NPI number for Myco Van is 1295870525 and her current mailing address is 8401 Ne Halsey St Ste 203, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295870525.

Contact Information

Myco Van, PSYD
1500 Ne Irving St, Suite 250,
Portland, OR 97232-2243
(503) 233-4356
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMyco Van
GenderFemale
SpecialityPsychologist - Clinical
Location1500 Ne Irving St, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295870525
  • Provider Enumeration Date: 02/21/2007
  • Last Update Date: 11/07/2009

Medical Identifiers

Medical identifiers for Myco Van such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295870525NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1791 (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. Myco Van 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
Myco Van, PSYD
8401 Ne Halsey St Ste 203,
Portland, OR 97220-5670

Ph: (503) 867-2289
Myco Van, PSYD
1500 Ne Irving St, Suite 250,
Portland, OR 97232-2243

Ph: (503) 233-4356

Reviews and Comments


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