institution
Sacred Psychiatry, Llc
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1952996076

Sacred Psychiatry, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Sacred Psychiatry, Llc practices in Portland, OR. The NPI Number for Sacred Psychiatry, Llc is 1952996076 and holds a License No. (Oregon).

The current practice location address for Sacred Psychiatry, Llc is 1717 Ne 42Nd Ave Ste 100E, Portland, OR and can be reached out via phone at 503-498-6455.

Location: 1717 Ne 42Nd Ave Ste 100E, Portland, OR, 97213-1569
institution
Provider Profile Details
NPI Number
1952996076
Provider Name
Sacred Psychiatry, Llc
Credential
Provider Entity Type
Organization
Address
1717 Ne 42Nd Ave Ste 100E, Portland, OR, 97213-1569
Phone Number
503-498-6455
Fax Number
Provider Enumeration Date
03/02/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1717 Ne 42Nd Ave Ste 100E
City
State
Zip
97213-1569
Phone Number
503-498-6455
Fax Number
person
Provider Business Mailing Address Details
Address
1717 Ne 42Nd Ave Ste 100E
City
State
Zip
97213-1569
Phone Number
503-498-6455
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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