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1407375801
AT HOME PSYCHIATRY LLC
PORTLAND, OR
NPI
1407375801
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Entity Type
Organization
Authorized Contact
MINDY MILAR MOORE
Owner
888-667-6467
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: OR 200850112NP)
Enumeration Date
2017-09-17
Last Update Date
2019-02-07
Business Address
AT HOME PSYCHIATRY LLC
7975 SW 83RD AVE
PORTLAND, OR 97223-7334
Phone number: 888-667-6467
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Mailing Address
AT HOME PSYCHIATRY LLC
8959 SW BARBUR BLVD STE 115
PORTLAND, OR 97219-4032
Phone number: 888-667-6467
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