NPI | 1497544837 |
---|---|
Doing Business As | TELEPSYCMD.COM |
Entity Type | Organization |
Authorized Contact | DANIEL BRISTOW Physician 503-966-5417 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-05-02 |
Last Update Date | 2025-05-02 |