MOONSTONE MENTAL HEALTH LLC

TIGARD, OR
NPI1083450761
Entity TypeOrganization
Authorized ContactJENNIE PETERSON
Pmhnp Bc
503-443-8339
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-07-02
Last Update Date2024-07-02
Business Address
MOONSTONE MENTAL HEALTH LLC
7110 SW FIR LOOP STE 145
TIGARD, OR 97223-8031
Phone number: 503-389-5882
Mailing Address
MOONSTONE MENTAL HEALTH LLC
7110 SW FIR LOOP STE 145
TIGARD, OR 97223-8031
Phone number: 503-389-5882