PORTLAND PSYCHIATRIC ALLIANCE LLC NPI 1255977021

NPI Information

NPI: 1255977021
Provider Name: PORTLAND PSYCHIATRIC ALLIANCE LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
3434 SW KELLY AVE
PORTLAND, OR
ZIP 97239
Phone: (503) 406-6515
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PORTLAND PSYCHIATRIC ALLIANCE LLC is a psychiatric/mental health nurse practitioner in Portland, OR. PORTLAND PSYCHIATRIC ALLIANCE LLC NPI is 1255977021. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3434 SW KELLY AVE
PORTLAND, OR
ZIP 97239-630
Phone: (503) 406-6515

The provider's authorized official is Tyler Chipman .
The authorized official title is Member and has the following contact phone number (503) 406-6515.

The enumeration date for this NPI number is 11/26/2019 and was last updated on 11/26/2019.

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			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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