Organization · Type 2 NPI

Northwest Adhd Treatment Center

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1225459548 Active

Practice location

10011 SE Division St, Suite 203
Portland, OR 97266-1351

Fax (503) 255-2344

Mailing address

PO Box 16308
Portland, OR 97292-0308

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X2197 (OR)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201150043NP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1225459548

Northwest Adhd Treatment Center's National Provider Identifier is 1225459548, issued on Jan 5, 2014. 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 Apr 27, 2015.