| Rise Up Mental Health, Llc. | |
|
9700 Sw Capitol Hwy Ste 105 Portland OR 97219-5274 | |
| (619) 733-9698 | |
| Not Available |
| Full Name | Rise Up Mental Health, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9700 Sw Capitol Hwy Ste 105, Portland, Oregon |
| Authorized Official Name and Position | Amanda Leigh Peats (COO, PROVIDER) |
| Authorized Official Contact | 6197339698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Up Mental Health, Llc. 9700 Sw Capitol Hwy Ste 105 Portland OR 97219-5274 Ph: (619) 733-9698 | Rise Up Mental Health, Llc. 9700 Sw Capitol Hwy Ste 105 Portland OR 97219-5274 Ph: (619) 733-9698 |
| NPI Number | 1225777907 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Certification Date | 06/01/2022 |
| Medicare PECOS PAC ID | 7315316197 |
|---|---|
| Medicare Enrollment ID | O20221219000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225777907 | NPI | - | NPPES |
| 1336716372 | Other | NPI |
| Provider Name | Amanda Leigh Peats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336716372 PECOS PAC ID: 0648674176 Enrollment ID: I20221219000447 |
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