Individual provider · Type 1 NPI
Miranda Reshae Bostic, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1346668050
Active
Practice location
5441 S Macadam Ave Ste A
Portland, OR 97239-3822
Other practice locations
- 2018 Western Ave, Knoxville, TN 37921-5718 · (865) 544-0406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26208 (TN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10042383 (OR) |
| Nurse Practitioner | 363L00000X | 26208 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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Other psychiatric/mental health nurse practitioner providers in Portland
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- Wendy J. Trout, MSN, NPPsychiatric/Mental Health Nurse Practitioner Portland, OR NPI 1013045202
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- Brooke Ann Sheehan, PMHNPPsychiatric/Mental Health Nurse Practitioner Portland, OR NPI 1023154846
About NPI 1346668050
Miranda Reshae Bostic, PMHNP-BC's National Provider Identifier is 1346668050, issued on Mar 31, 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 Sep 18, 2025.