Organization · Type 2 NPI

Calico Mental Health Associates LLC

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1992223861 Active

Practice location

1520 N Alberta St
Portland, OR 97217-3602

Fax (503) 200-1241

Mailing address

4207 SE Woodstock Blvd # 230
Portland, OR 97206-6267

Other practice locations

  • 1133 NW 21st Ave # 104, Portland, OR 97209-1513 · (503) 914-5229

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

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

5 other providers at this address

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About NPI 1992223861

Calico Mental Health Associates LLC's National Provider Identifier is 1992223861, issued on Aug 31, 2017. 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 Mar 17, 2018.