institution
Lifeline Medical Center
Psychiatric/Mental Health Nurse Practitioner in Beaverton, Oregon
NPI 1265160451

Lifeline Medical Center is a Psychiatric/Mental Health Nurse Practitioner based in Davidsville, OR and is specialized in Psychiatric/Mental Health. Lifeline Medical Center practices in Beaverton, OR. The NPI Number for Lifeline Medical Center is 1265160451 and holds a License No. (Oregon).

The current practice location address for Lifeline Medical Center is 1500 Nw Bethany Blvd Ste 200, Beaverton, OR and can be reached out via phone at 814-408-0014 and via fax at 503-914-6422. You can also correspond with Lifeline Medical Center through the mailing address at 3159 CARPENTERS PARK RD, DAVIDSVILLE, PA - 15928-9223 (mailing address contact number: 814-408-0014).

Location: 1500 Nw Bethany Blvd Ste 200, Beaverton, OR, 15928-9223
institution
Provider Profile Details
NPI Number
1265160451
Provider Name
Lifeline Medical Center
Credential
Provider Entity Type
Organization
Address
1500 Nw Bethany Blvd Ste 200, Beaverton, OR, 15928-9223
Phone Number
814-408-0014
Fax Number
503-914-6422
Provider Enumeration Date
08/15/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
99999999999 05 OR
institution
Provider Business Practice Location Address Details
Address
1500 Nw Bethany Blvd Ste 200
City
State
Zip
97006-5236
Phone Number
814-408-0014
Fax Number
503-914-6422
person
Provider Business Mailing Address Details
Address
3159 Carpenters Park Rd
City
State
Zip
15928-9223
Phone Number
814-408-0014
Fax Number
814-479-5906
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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