| Providence Inpatient Psychiatry West | |
|
9205 Sw Barnes Rd 5 E Portland OR 97225-6603 | |
| (503) 216-2028 | |
| (503) 216-2485 |
| Full Name | Providence Inpatient Psychiatry West |
|---|---|
| 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 |
|---|---|
| Providence Inpatient Psychiatry West Po Box 3158 Portland OR 97208-3158 Ph: (503) 215-6494 | Providence Inpatient Psychiatry West 9205 Sw Barnes Rd 5 E Portland OR 97225-6603 Ph: (503) 216-2028 |
| NPI Number | 1891875134 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 04/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891875134 | NPI | - | NPPES |
| 022857 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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