SOLACE MEDICAL CARE NPI 1184493645

NPI Information

  • NPI: 1184493645
  • Provider Name: SOLACE MEDICAL CARE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 111 SW 5TH AVE
    PORTLAND, OR
    ZIP 97204
  • Phone: (562) 760-2450

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NPI Details

SOLACE MEDICAL CARE is a psychiatric/mental health nurse practitioner in Portland, OR. SOLACE MEDICAL CARE NPI is 1184493645. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 SW 5TH AVE
PORTLAND, OR
ZIP 97204-604
Phone: (562) 760-2450

The provider's authorized official is Tuyet Lam Gwardys .
The authorized official title is Pmhnp-bc and has the following contact phone number (562) 760-2450.

The enumeration date for this NPI number is 12/26/2023 and was last updated on 12/26/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse 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: 11/21/2025

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