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Illume Integrative Psychiatry, Llc
Psychiatric/Mental Health Nurse Practitioner in Ashland, Oregon
NPI 1861264285

Illume Integrative Psychiatry, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Ashland, OR and is specialized in Psychiatric/Mental Health. Illume Integrative Psychiatry, Llc practices in Ashland, OR. The NPI Number for Illume Integrative Psychiatry, Llc is 1861264285 and holds a License No. (Oregon).

The current practice location address for Illume Integrative Psychiatry, Llc is 190 Oak St Apt 4, Ashland, OR and can be reached out via phone at 541-261-9789.

Location: 190 Oak St Apt 4, Ashland, OR, 97520-1886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861264285
Provider Name
Illume Integrative Psychiatry, Llc
Credential
Provider Entity Type
Organization
Address
190 Oak St Apt 4, Ashland, OR, 97520-1886
Phone Number
541-261-9789
Fax Number
Provider Enumeration Date
10/30/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
190 Oak St Apt 4
City
Ashland
State
Oregon
Zip
97520-1886
Phone Number
541-261-9789
Fax Number
person
Provider Business Mailing Address Details
Address
190 Oak St Apt 4
City
Ashland
State
Oregon
Zip
97520-1886
Phone Number
541-261-9789
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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