Integrative Mind | |
5 Centerpointe Dr Ste 400 Lake Oswego OR 97035-8661 | |
(503) 606-6355 | |
(581) 333-1291 |
Full Name | Integrative Mind |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 5 Centerpointe Dr Ste 400, Lake Oswego, Oregon |
Authorized Official Name and Position | Keith Johnson (OWNER) |
Authorized Official Contact | 5036066355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Integrative Mind 5 Centerpointe Dr Ste 400 Lake Oswego OR 97035-8661 Ph: (503) 606-6355 | Integrative Mind 5 Centerpointe Dr Ste 400 Lake Oswego OR 97035-8661 Ph: (503) 606-6355 |
NPI Number | 1114542735 |
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Provider Enumeration Date | 06/09/2020 |
Last Update Date | 02/24/2023 |
Certification Date | 02/24/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114542735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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