PORTLAND PSYCHIATRIC ALLIANCE LLC

PORTLAND, OR
NPI1255977021
Entity TypeOrganization
Authorized ContactTYLER CHIPMAN
Member
503-406-6515
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2019-11-26
Last Update Date2019-11-26
Business Address
PORTLAND PSYCHIATRIC ALLIANCE LLC
3434 SW KELLY AVE
PORTLAND, OR 97239-4630
Phone number: 503-406-6515
Mailing Address
PORTLAND PSYCHIATRIC ALLIANCE LLC
3434 SW KELLY AVE
PORTLAND, OR 97239-4630
Phone number: 503-406-6515
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