O'leary Mental Health Llc | |
1520 N Alberta St Portland OR 97217-3602 | |
(503) 533-7111 | |
(888) 975-6251 |
Full Name | O'leary Mental Health Llc |
---|---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1520 N Alberta St, Portland, Oregon |
Authorized Official Name and Position | Ein O'leary (OWNER) |
Authorized Official Contact | 5035337111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
O'leary Mental Health Llc 1520 N Alberta St Portland OR 97217-3602 Ph: (503) 533-7111 | O'leary Mental Health Llc 1520 N Alberta St Portland OR 97217-3602 Ph: (503) 533-7111 |
NPI Number | 1972964021 |
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Provider Enumeration Date | 03/17/2016 |
Last Update Date | 03/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972964021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C3432 (Oregon) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 201150097NP (Oregon) | Primary |
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