| NPI | 1518233154 |
|---|---|
| Doing Business As | PORTLAND PSYCHIATRIC GROUP |
| Entity Type | Organization |
| Authorized Contact | ANTHONY PABST Medical Director 503-389-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201150092NP) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2013-02-06 |