STASIS PSYCHIATRY, LLC

SALEM, OR
NPI1427527886
Doing Business AsNATHAN JOHNSON, PMHNP
Entity TypeOrganization
Authorized ContactNATHAN PATRICK JOHNSON
Owner
971-304-9306
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date2018-11-15
Last Update Date2021-04-13
Business Address
STASIS PSYCHIATRY, LLC
4035 12TH ST CUTOFF SE STE 120
SALEM, OR 97302-1754
Phone number: 971-304-9306
Mailing Address
STASIS PSYCHIATRY, LLC
PO BOX 12926
SALEM, OR 97309-0926
Phone number: