Kanapathy - Suppaiah, RN, PMHNP
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1497971014
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497971014
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kanapathy - Suppaiah
- Credential
- RN, PMHNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 079043086N6 | OR | Yes |
Practice location
2301 Nw Thurman St Ste APortland, OR 97210-2581
Phone 503-243-7907
Mailing address
2301 Nw Thurman St Ste APortland, OR 97210-2581
Phone 503-243-7907
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