| NPI | 1407573850 |
|---|---|
| Doing Business As | SKYCLOUD MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MADELINE JACOBS Owner 503-694-3381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2024-09-17 |