Charlene Eickholt, PhD
- Affiliated sites
- 1
- State license
- 1
- Year NPI issued
- 2009
- Practice address
- 4212 N.E. Broadway, Portland, OR 97213
- Practice phone
- Call (503) 331-7646
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
The Oregon Clinic Broadway Medical
Mammography / Breast Imaging Center · Portland, Oregon
Find Charlene Eickholt's professional email, personal email and mobile number
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Charlene Eickholt is a clinical child and adolescent psychologist in Portland, Oregon
Charlene Eickholt practices at The Oregon Clinic Broadway Medical in Portland, Oregon.
Charlene Eickholt's NPI, 1851532139, was assigned on March 16, 2009. Charlene Eickholt holds Oregon license PSY1323.
- NPI
- 1851532139NPI Registry (opens in a new tab)
- NPI enumeration date
- March 16, 2009
- NPI status
- Active
- Practice phone
- (503) 331-7646
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Charlene Eickholt practices at The Oregon Clinic Broadway Medical in Portland, Oregon
Charlene Eickholt's primary practice is The Oregon Clinic Broadway Medical, at 4212 N.E. Broadway, Portland, OR 97213. The practice phone is (503) 331-7646.
- The Oregon Clinic Broadway Medical4212 N.E. Broadway, Portland, OR 97213Phone(503) 331-7646
Source: Dmand AI Affiliation Data
Charlene Eickholt is affiliated with 1 site of care
Charlene Eickholt's primary practice is The Oregon Clinic Broadway Medical in Portland, Oregon.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Charlene Eickholt's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Charlene Eickholt practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| The Oregon Clinic Broadway Medical | Available with a free account |
Source: Dmand AI Technology Install Data
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Charlene Eickholt is one of 29 clinical childs and adolescent psychologists in Oregon
Clinical child and adolescent is Charlene Eickholt's primary specialty in the NPI Registry, under taxonomy code 103TC2200X. Charlene Eickholt is licensed in Oregon.
Specialties and state licenses
- Clinical child and adolescent psychologist, OregonPrimary
Clinical childs and adolescent psychologists near Charlene Eickholt
Counts of clinical childs and adolescent psychologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Charlene Eickholt's patients have a median age of 16
Across all payers, Dmand AI patient panel data puts Charlene Eickholt's median patient age at 16, with 68% women.
Charlene Eickholt's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 16
Patient panel by sex, all payers
- Women68%
- Men32%
Source: Dmand AI Patient Panel Data
Sources for Charlene Eickholt's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Charlene Eickholt
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What is Charlene Eickholt's NPI number?
Charlene Eickholt's NPI number is 1851532139. It was assigned on March 16, 2009, and it is active in the NPI Registry.
What does Charlene Eickholt specialize in?
Charlene Eickholt is a clinical child and adolescent psychologist in Portland, Oregon. The primary specialty in the NPI Registry is Clinical Child & Adolescent Psychologist (taxonomy code 103TC2200X).
Where does Charlene Eickholt practice?
Charlene Eickholt practices at 4212 N.E. Broadway, Portland, OR 97213. Charlene Eickholt's primary practice is The Oregon Clinic Broadway Medical in Portland, Oregon.
What is Charlene Eickholt's office phone number?
The practice phone on file for Charlene Eickholt is (503) 331-7646.
What is Charlene Eickholt's medical license number?
Charlene Eickholt holds Oregon license PSY1323.
How long has Charlene Eickholt been practicing?
Charlene Eickholt's NPI was assigned in 2009.
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