SUNSTONE PSYCHIATRIC LLC NPI 1457856148

NPI Information

  • NPI: 1457856148
  • Provider Name: SUNSTONE PSYCHIATRIC, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • CLIA Number: 38D2134402
  • Address: 6420 S MACADAM AVE STE 330
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 477-7878

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NPI Details

SUNSTONE PSYCHIATRIC, LLC is a psychiatric/mental health nurse practitioner in Portland, OR. SUNSTONE PSYCHIATRIC, LLC NPI is 1457856148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6420 S MACADAM AVE STE 330
PORTLAND, OR
ZIP 97239-564
Phone: (503) 477-7878
Fax: (888) 765-0392

The provider's authorized official is Annie Hood .
The authorized official title is Owner and has the following contact phone number (503) 477-7878.

The CLIA number assigned to this NPI record is 38D2134402 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2018 and was last updated on 12/9/2024.

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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