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Organization
DEEP INSIGHT GROUP PLLC
Active
Organization
DEEP INSIGHT GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAWN DEREMER DAWN MOORE MD (MEDICAL DIRECTOR)
(971) 358-9292
Entity
Organization
Contact information
Practice address
1925 VILLAGE CENTER CIR STE 150, LAS VEGAS, NV 89134-6261
(725) 212-4523
(725) 212-4524
Mailing address
6400 SE LAKE RD STE 430, PORTLAND, OR 97222-2129
(971) 358-9292
(503) 917-4971
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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