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RELIEF MENTAL HEALTH CONSULTANTS PLLC NPI 1538784004


NPI Information

NPI: 1538784004
Provider Name: RELIEF MENTAL HEALTH CONSULTANTS PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 38D2269882

Address:
205 SE SPOKANE ST STE 300
PORTLAND, OR
ZIP 97202
Phone: (855) 704-2004
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RELIEF MENTAL HEALTH CONSULTANTS PLLC is a psychiatric/mental health nurse practitioner in Portland, OR. RELIEF MENTAL HEALTH CONSULTANTS PLLC NPI is 1538784004. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

205 SE SPOKANE ST STE 300
PORTLAND, OR
ZIP 97202-487
Phone: (855) 704-2004
Fax: (503) 386-3366

The provider's authorized official is Dominique Renee Wilson .
The authorized official title is Owner And Provider and has the following contact phone number (855) 704-2004.

The CLIA number assigned to this NPI record is 38D2269882 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2020 and was last updated on 8/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.