| Psvmc Ip Psyc Unit | |
|
9205 Sw Barnes Rd Portland OR 97225-6603 | |
| (503) 216-1234 | |
| Not Available |
| Full Name | Psvmc Ip Psyc Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 9205 Sw Barnes Rd, Portland, Oregon |
| Authorized Official Name and Position | William Olson (VP FINANCE) |
| Authorized Official Contact | 5038936446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psvmc Ip Psyc Unit 9205 Sw Barnes Rd Portland OR 97225-6603 Ph: (503) 216-1234 | Psvmc Ip Psyc Unit 9205 Sw Barnes Rd Portland OR 97225-6603 Ph: (503) 216-1234 |
| NPI Number | 1164811972 |
|---|---|
| Provider Enumeration Date | 01/16/2015 |
| Last Update Date | 01/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164811972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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