PROVIDENCE HEALTH & SERVICES - OREGON
Organization (NPI-2)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1013192806- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 9155 SW BARNES RD STE 333, PORTLAND, OR, 972256625
- Phone
- (503) 216-5102
- Fax
- (503) 216-2485
Specialties & Taxonomies
Psychiatry & Neurology, Neurology
Psychiatry & Neurology, Child & Adolescent Psychiatry
License: OR
Unknown
License: OR
Clinic/Center, Adult Mental Health
Clinic/Center, Adolescent and Children Mental Health
Nurse Practitioner
Nurse Practitioner, Psych/Mental Health
License: OR
Psychiatry & Neurology, Psychiatry
Primary License: OR