Providence Er Psychiatrists West | |
9205 Sw Barnes Rd Suite 333 Portland OR 97225-6630 | |
(503) 216-7082 | |
(503) 216-7907 |
Full Name | Providence Er Psychiatrists West |
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Speciality | Clinic/center |
Location | 9205 Sw Barnes Rd, Portland, Oregon |
Authorized Official Name and Position | Mitchell Neyhart (CFO) |
Authorized Official Contact | 5035749840 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Providence Er Psychiatrists West Po Box 3158 Portland OR 97208-3158 Ph: (503) 215-6494 | Providence Er Psychiatrists West 9205 Sw Barnes Rd Suite 333 Portland OR 97225-6630 Ph: (503) 216-7082 |
NPI Number | 1083794325 |
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Provider Enumeration Date | 10/17/2006 |
Last Update Date | 10/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083794325 | NPI | - | NPPES |
022854 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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