NPI: 1427527886
Provider Name: STASIS PSYCHIATRY, LLC
Doing Business As: NATHAN JOHNSON, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization
Specialization: Psychiatric/Mental Health
Address:
4035 12TH ST CUTOFF SE STE 120
SALEM, OR
ZIP 97302
Phone: (971) 304-9306
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STASIS PSYCHIATRY, LLC is a psychiatric/mental health nurse practitioner in Salem, OR. STASIS PSYCHIATRY, LLC NPI is 1427527886. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nathan Johnson, Pmhnp.
The provider's business location address is:
4035 12TH ST CUTOFF SE STE 120
SALEM, OR
ZIP 97302-754
Phone: (971) 304-9306
Fax: (503) 926-6624
The provider's authorized official is Nathan Patrick Johnson .
The authorized official title is Owner and has the following contact phone number (971) 304-9306.
The enumeration date for this NPI number is 11/15/2018 and was last updated on 4/13/2021.