SAKURA RECOVERY AND WELLNESS LLC. NPI 1194100255

NPI Information

NPI: 1194100255
Provider Name: SAKURA RECOVERY AND WELLNESS, LLC.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1675 SW MARLOW AVE STE 315
PORTLAND, OR
ZIP 97225
Phone: (310) 701-7242
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SAKURA RECOVERY AND WELLNESS, LLC. is a psychiatric/mental health nurse practitioner in Portland, OR. SAKURA RECOVERY AND WELLNESS, LLC. NPI is 1194100255. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1675 SW MARLOW AVE STE 315
PORTLAND, OR
ZIP 97225-105
Phone: (310) 701-7242

The provider's authorized official is Justin Rice .
The authorized official title is Psychiatric Nurse Practitioner/owne and has the following contact phone number (310) 701-7242.

The enumeration date for this NPI number is 7/29/2015 and was last updated on 7/29/2015.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201403432NP-PP	OREGON	Yes

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

NPI Synchronization or Removal

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