| Valerie Tobin, Pmhnp, Llc | |
|
1717 Ne 42nd Ave Suite 2103 Portland OR 97213-1569 | |
| (503) 318-8568 | |
| Not Available |
| Full Name | Valerie Tobin, Pmhnp, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1717 Ne 42nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Valerie Tobin (OWNER) |
| Authorized Official Contact | 5033188568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valerie Tobin, Pmhnp, Llc 1717 Ne 42nd Ave. Suite 2103 Portland OR 97213 Ph: (503) 318-8568 | Valerie Tobin, Pmhnp, Llc 1717 Ne 42nd Ave Suite 2103 Portland OR 97213-1569 Ph: (503) 318-8568 |
| NPI Number | 1558647156 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 10/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558647156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 200650134NP (Oregon) | Primary |
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