Organization · Type 2 NPI
Life Restoration Missions
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1114747763
Active
Practice location
6111 SW Lesser Way
Portland, OR 97219-7040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114747763
Life Restoration Missions's National Provider Identifier is 1114747763, issued on Oct 16, 2024. 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 Feb 18, 2026.