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1346078037
WESTLAKE PSYCHIATRY & WELLNESS LLC
PORTLAND, OR
NPI
1346078037
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Entity Type
Organization
Authorized Contact
KIMBERLY RICKEL
LLC Owner
406-570-1169
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-07-24
Last Update Date
2024-07-24
Business Address
WESTLAKE PSYCHIATRY & WELLNESS LLC
11960 SW LESSER RD
PORTLAND, OR 97219-7061
Phone number: 503-214-2431
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Mailing Address
WESTLAKE PSYCHIATRY & WELLNESS LLC
11960 SW LESSER RD
PORTLAND, OR 97219-7061
Phone number: 503-214-2431
Copy
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