| Neustart Psychiatry | |
|
308 Nw 11th Ave Ste 201 Portland OR 97209-2980 | |
| (503) 379-1902 | |
| Not Available |
| Full Name | Neustart Psychiatry |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 308 Nw 11th Ave Ste 201, Portland, Oregon |
| Authorized Official Name and Position | Lawrence K Robbins (GENERAL MANAGER) |
| 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 308 Nw 11th Ave Ste 201 Portland OR 97209-2980 Ph: (503) 379-1902 |
| NPI Number | 1316569502 |
|---|---|
| Provider Enumeration Date | 05/11/2020 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316569502 | NPI | - | NPPES |
| 500754977 | Medicaid | OR |
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