Organization · Type 2 NPI
Medical Interventions for Neuroplastic Development Hub. LLC
Psychiatric/Mental Health Nurse Practitioner · Beaverton, OR
NPI number
1992402317
Active
Practice location
7766 SW Bayberry Dr
Beaverton, OR 97007-5551
Fax (971) 369-7509
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 1992402317
Medical Interventions for Neuroplastic Development Hub. LLC's National Provider Identifier is 1992402317, issued on Feb 15, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Beaverton, OR. The record was last updated on Feb 15, 2023.