PHOENIX RISING PSYCHOLOGY NPI 1306352281

NPI Information

NPI: 1306352281
Provider Name: PHOENIX RISING PSYCHOLOGY
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1515 NW 23RD AVE
PORTLAND, OR
ZIP 97210
Phone: (972) 123-8965
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PHOENIX RISING PSYCHOLOGY is an adult mental health clinic center in Portland, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PHOENIX RISING PSYCHOLOGY NPI is 1306352281. The provider is registered as an organization entity type.

The provider's business location address is:

1515 NW 23RD AVE
PORTLAND, OR
ZIP 97210-617
Phone: (972) 123-8965

The provider's authorized official is Sarah Anne Voruz .
The authorized official title is Licensed Psychologist and has the following contact phone number (971) 238-9656.

The enumeration date for this NPI number is 12/14/2017 and was last updated on 12/14/2017.

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	261QM0850X	Clinic/Center	Adult Mental Health	2610	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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