LIFESPAN PSYCHIATRIC CONSULTING LLC NPI 1487191797

NPI Information

NPI: 1487191797
Provider Name: LIFESPAN PSYCHIATRIC CONSULTING, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
955 NE 3RD ST
GRESHAM, OR
ZIP 97030
Phone: (503) 491-5896
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LIFESPAN PSYCHIATRIC CONSULTING, LLC is a psychiatric/mental health nurse practitioner in Gresham, OR. LIFESPAN PSYCHIATRIC CONSULTING, LLC NPI is 1487191797. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

955 NE 3RD ST
GRESHAM, OR
ZIP 97030-418
Phone: (503) 491-5896
Fax: (888) 972-9783

The provider's authorized official is Andrew Vilius .
The authorized official title is Owner / Principal and has the following contact phone number (503) 491-5896.

The enumeration date for this NPI number is 1/24/2017 and was last updated on 2/22/2022.

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	20070075NP	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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