LIFESPAN PSYCHIATRIC CONSULTING, LLC

GRESHAM, OR
NPI1487191797
Entity TypeOrganization
Authorized ContactANDREW VILIUS
Owner / Principal
503-491-5896
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  20070075NP)
Enumeration Date2017-01-24
Last Update Date2022-02-22
Business Address
LIFESPAN PSYCHIATRIC CONSULTING, LLC
955 NE 3RD ST
GRESHAM, OR 97030-7418
Phone number: 503-491-5896
Mailing Address
LIFESPAN PSYCHIATRIC CONSULTING, LLC
955 NE 3RD ST
GRESHAM, OR 97030-7418
Phone number: 503-491-5896