| Divurgent Solutions, Llc | |
|
9009 Se Adams St Clackamas OR 97015-8018 | |
| (971) 434-7211 | |
| Not Available |
| Full Name | Divurgent Solutions, Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 9009 Se Adams St, Clackamas, Oregon |
| Authorized Official Name and Position | Johnni Cansler (CEO) |
| Authorized Official Contact | 9714347211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divurgent Solutions, Llc Po Box 3250 Clackamas OR 97015-3250 Ph: () - | Divurgent Solutions, Llc 9009 Se Adams St Clackamas OR 97015-8018 Ph: (971) 434-7211 |
| NPI Number | 1518718477 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518718477 | NPI | - | NPPES |
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