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CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE NPI 1649712571


NPI Information

NPI: 1649712571
Provider Name: CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 38D2166140

Address:
3570 SW RIVER PKWY
PORTLAND, OR
ZIP 97239
Phone: (888) 418-2993
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CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE is a psychiatry psychiatry neurology in Portland, OR. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE NPI is 1649712571. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3570 SW RIVER PKWY
PORTLAND, OR
ZIP 97239-534
Phone: (888) 418-2993
Fax: (888) 418-2994

The provider's authorized official is Denise J Folston .
The authorized official title is Billing Specialist and has the following contact phone number (541) 620-8170.

The CLIA number assigned to this NPI record is 38D2166140 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2016 and was last updated on 1/17/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryMD165076OREGONYes

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

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