| Northwest Psychiatric Group, Pc | |
|
921 Sw Washington St Suite 460 Portland OR 97205-2827 | |
| (503) 827-0298 | |
| (503) 827-0299 |
| Full Name | Northwest Psychiatric Group, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 921 Sw Washington St, Portland, Oregon |
| Authorized Official Name and Position | Lance Emanuel Anderson (OWNER) |
| Authorized Official Contact | 5038270298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Psychiatric Group, Pc 921 Sw Washington St Suite 460 Portland OR 97205-2827 Ph: (503) 827-0298 | Northwest Psychiatric Group, Pc 921 Sw Washington St Suite 460 Portland OR 97205-2827 Ph: (503) 827-0298 |
| NPI Number | 1215024377 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215024377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD22975 (Oregon) | Primary |
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