POWERED BY SELF LOVE OREGON LLC NPI 1821730417

NPI Information

NPI: 1821730417
Provider Name: POWERED BY SELF LOVE OREGON LLC

Doing Business As: POWERED BY SELF LOVE OREGON LLC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
5305 RIVER RD N STE B1
KEIZER, OR
ZIP 97303
Phone: (657) 321-9765
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POWERED BY SELF LOVE OREGON LLC is a psychiatric/mental health nurse practitioner in Keizer, OR. POWERED BY SELF LOVE OREGON LLC NPI is 1821730417. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Powered By Self Love Oregon Llc.

The provider's business location address is:

5305 RIVER RD N STE B1
KEIZER, OR
ZIP 97303-324
Phone: (657) 321-9765
Fax: (229) 218-2667

The provider's authorized official is Loan Pham .
The authorized official title is Founder, Ceo and has the following contact phone number (714) 880-5065.

The enumeration date for this NPI number is 4/13/2022 and was last updated on 11/7/2022.

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			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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