| Neuronest Psychiatry Associates Llc | |
|
1120 Se 225th Ave Gresham OR 97030-2669 | |
| (972) 876-9690 | |
| Not Available |
| Full Name | Neuronest Psychiatry Associates Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1120 Se 225th Ave, Gresham, Oregon |
| Authorized Official Name and Position | Samuel Maina (DIRECTOR) |
| Authorized Official Contact | 9728769690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuronest Psychiatry Associates Llc 20300 Se Morrison Ter Apt 2037 Gresham OR 97030-2274 Ph: (972) 876-9690 | Neuronest Psychiatry Associates Llc 1120 Se 225th Ave Gresham OR 97030-2669 Ph: (972) 876-9690 |
| NPI Number | 1063342020 |
|---|---|
| Provider Enumeration Date | 05/21/2026 |
| Last Update Date | 05/21/2026 |
| Certification Date | 05/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063342020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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