Staley Wood Mims III QMHP MED

  • NPI 1023155207
According to our database, the NPI number for Staley Wood Mims III QMHP MED is 1023155207 and activated since 17 years ago. Staley Wood Mims III QMHP MED is an individual provider who specializes in Mental Health, and the primary practice location is 2330 Ne Siskiyou St, Portland, OR 97212. You can also contact Staley Wood Mims III QMHP MED via telephone number is (503) 528-0757. Provider NPI information was last updated on 07/08/2007.

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Overview of Staley Wood Mims III QMHP MED

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/30/2007
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 3602 Se 28th Pl Apt 15
    Portland, OR 97202
  • Phone: 503-771-0968
  • Fax:

Provider Practice Location

  • Address: 2330 Ne Siskiyou St
    Portland, OR 97212
  • Phone: 503-528-0757
  • Fax: 503-528-0764

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number:
  • License State:
  • Switch: Not Answered

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Staley Wood Mims III QMHP MED?
  • A: The npi number for Staley Wood Mims III QMHP MED is 1023155207.
  • Q: What are Staley Wood Mims III QMHP MED's specialties?
  • A: Staley Wood Mims III QMHP MED's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Staley Wood Mims III QMHP MED?
  • A: The medical license number for Staley Wood Mims III QMHP MED is unknow and issued in unknow in USA.
  • Q: Where is Staley Wood Mims III QMHP MED practice location?
  • A: Staley Wood Mims III QMHP MED is practicing at 2330 Ne Siskiyou St, Portland, OR 97212.
  • Q: How to contact Staley Wood Mims III QMHP MED?
  • A: You can contact Staley Wood Mims III QMHP MED via 503-528-0757.