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A Vast Me Psychiatry LLC

Clinic/Center, Adult Mental Health in Portland, OR. Organization (NPI-2).

NPI number1356249304
StatusActive
Last updated in NPPESOct 29, 2026

Details

NPI
1356249304
Entity type
Organization (NPI-2)
Legal business name
A Vast Me Psychiatry LLC
Organization subpart
No
Enumeration date
Oct 29, 2026
Certification date
Oct 29, 2026
Last updated
Oct 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

5932 Ne Glisan St
Portland, OR 97213-3754

Phone 503-427-9034

Mailing address

5932 Ne Glisan St
Portland, OR 97213-3754

Authorized official

Jesse Gerber
Owner
5034279034

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