| Deep Insight Group Pllc | |
|
6400 Se Lake Rd Ste 135 Portland OR 97222-2189 | |
| (971) 358-9292 | |
| Not Available |
| Full Name | Deep Insight Group Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6400 Se Lake Rd Ste 135, Portland, Oregon |
| Authorized Official Name and Position | John M Perry (MANAGER) |
| Authorized Official Contact | 9713589292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Insight Group Pllc 6400 Se Lake Rd Ste 135 Portland OR 97222-2189 Ph: () - | Deep Insight Group Pllc 6400 Se Lake Rd Ste 135 Portland OR 97222-2189 Ph: (971) 358-9292 |
| NPI Number | 1104531177 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104531177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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