Psychiatric Care Pc

NPI 1063468692 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1063468692
Enumeration Date 05/25/2006
Last Updated 11/04/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KATHRYN KATHRYN
Position OWNER
Phone (503) 222-1524
Fax (503) 224-1880
Practice Location
2250 NW FLANDERS ST
SUITE 103
PORTLAND OR, 97210-3443, US
Phone (503) 222-1524
Fax (503) 224-1880
Business Location
3439 NE SANDY BLVD
PMB 375
PORTLAND OR, 97232-1959, US
Phone (503) 284-8841
Fax (503) 282-3302
Toxanomy
Taxonomy Code 2084P0804X
License State Oregon
License Number MD13388
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According to our database, Psychiatric Care Pc NPI is 1063468692, taxonomy code is 2084P0804X and license number is MD13388, license state is located at Oregon. Psychiatric Care Pc physically located at 2250 Nw Flanders St, Portland OR, 97210-3443. NPI Number 1033115704 has the healthcare provider type.

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1063468692 NPI number is provided on an as is basis without warranty of any kind. 1063468692 is maintained by the National Plan & Provider Enumeration System. The contents of Psychiatric Care Pc are for informational purposes only.