Organization · Type 2 NPI
Imani Mental Health and Wellness LLC
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1104415405
Active
Practice location
3939 NE Hancock St # 202
Portland, OR 97212-5321
Mailing address
12063 SW Taylor Ct
Portland, OR 97225-5845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104415405
Imani Mental Health and Wellness LLC's National Provider Identifier is 1104415405, issued on Jan 12, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Jan 25, 2021.