| Wellpsyche Portland Pc | |
|
4145 Sw Watson Ave Ste 350 Beaverton OR 97005-2191 | |
| (310) 871-0670 | |
| Not Available |
| Full Name | Wellpsyche Portland Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 4145 Sw Watson Ave Ste 350, Beaverton, Oregon |
| Authorized Official Name and Position | Adel Mostafavi (CEO) |
| Authorized Official Contact | 9494002488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellpsyche Portland Pc 1055 Wilshire Blvd Ste 1705 Los Angeles CA 90017-5600 Ph: (310) 871-0670 | Wellpsyche Portland Pc 4145 Sw Watson Ave Ste 350 Beaverton OR 97005-2191 Ph: (310) 871-0670 |
| NPI Number | 1871156968 |
|---|---|
| Provider Enumeration Date | 04/15/2019 |
| Last Update Date | 04/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871156968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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