STERRY PSYCHIATRIC LLC NPI 1730952227

NPI Information

  • NPI: 1730952227
  • Provider Name: STERRY PSYCHIATRIC LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 3434 S KELLY AVE
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 406-1512

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NPI Details

STERRY PSYCHIATRIC LLC is a psychiatric/mental health nurse practitioner in Portland, OR. STERRY PSYCHIATRIC LLC NPI is 1730952227. The provider is registered as an organization entity type.

The provider's business location address is:

3434 S KELLY AVE
PORTLAND, OR
ZIP 97239-630
Phone: (503) 406-1512

The provider's authorized official is Jean Sterry .
The authorized official title is Owner, Provider and has the following contact phone number (503) 406-1512.

The enumeration date for this NPI number is 11/6/2023 and was last updated on 6/28/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2363LP0808XNurse 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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