person
Mr. Kanapathy - Suppaiah, RN,PMHNP
Mental Health Counselor in Portland, Oregon
NPI 1497971014

Kanapathy - Suppaiah is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Kanapathy - Suppaiah practices in Portland, OR and has the professional credentials of RN,PMHNP. The NPI Number for Kanapathy - Suppaiah is 1497971014 and holds a License No. 079043086N6 (Oregon).

The current practice location address for Kanapathy - Suppaiah is 2301 Nw Thurman St Ste A, Portland, OR and can be reached out via phone at 503-243-7907.

Location: 2301 Nw Thurman St Ste A, Portland, OR, 97210-2581
person
Provider Profile Details
NPI Number
1497971014
Provider Name
Kanapathy - Suppaiah
Credential
RN,PMHNP
Provider Entity Type
Individual
Gender
Male
Address
2301 Nw Thurman St Ste A, Portland, OR, 97210-2581
Phone Number
503-243-7907
Fax Number
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2301 Nw Thurman St Ste A
City
State
Zip
97210-2581
Phone Number
503-243-7907
Fax Number
person
Provider Business Mailing Address Details
Address
2301 Nw Thurman St Ste A
City
State
Zip
97210-2581
Phone Number
503-243-7907
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
079043086N6 (Oregon)
Definition
Definition to come...
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