Presence Of Mind LLC
Nurse Practitioner, Psych/Mental Health in Beaverton, OR. Organization (NPI-2).
NPI number1124719331
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1124719331
- Entity type
- Organization (NPI-2)
- Legal business name
- Presence Of Mind LLC
- Organization subpart
- No
- Enumeration date
- May 18, 2023
- Certification date
- Oct 6, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Other names
- Presence Of Mind, LLC (Doing Business As)
Practice location
1975 Nw 167th Pl Ste 100-20Beaverton, OR 97006-4908
Phone 503-874-6463 · Fax 503-831-8947
Mailing address
1975 Nw 167th PlSte 100-20
Beaverton, OR 97006-4908
Phone 503-874-6463 · Fax 503-831-8947
Authorized official
Tara Candela
Owner
5038746463
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