| NPI | 1336998616 |
|---|---|
| Doing Business As | WELLSPRING PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | JACOB KIRKWOOD Owner 503-757-4209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |