| Neustart Psychiatry | |
|
17933 Nw Evergreen Pl Ste 285 Beaverton OR 97006-7532 | |
| (503) 379-1902 | |
| (503) 379-1964 |
| Full Name | Neustart Psychiatry |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 17933 Nw Evergreen Pl Ste 285, Beaverton, Oregon |
| Authorized Official Name and Position | Lawrence K Robbins (OWNER) |
| Authorized Official Contact | 5033791902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neustart Psychiatry 2110 Mission St Se Ste 305 Salem OR 97302-0038 Ph: (503) 379-1902 | Neustart Psychiatry 17933 Nw Evergreen Pl Ste 285 Beaverton OR 97006-7532 Ph: (503) 379-1902 |
| NPI Number | 1649843293 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649843293 | NPI | - | NPPES |
| 500754977 | Medicaid | OR |
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