| Integrative Mind | |
|
5 Centerpointe Dr Ste 400 Lake Oswego OR 97035-8661 | |
| (503) 606-6355 | |
| (581) 333-1291 |
| Full Name | Integrative Mind |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5 Centerpointe Dr Ste 400, Lake Oswego, Oregon |
| Authorized Official Name and Position | Keith Johnson (OWNER) |
| Authorized Official Contact | 5036066355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Mind 5 Centerpointe Dr Ste 400 Lake Oswego OR 97035-8661 Ph: (503) 606-6355 | Integrative Mind 5 Centerpointe Dr Ste 400 Lake Oswego OR 97035-8661 Ph: (503) 606-6355 |
| NPI Number | 1114542735 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114542735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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