# DEEP INSIGHT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770357964
- **Authorized official:** AMY DAWN MOORE (REGIONAL CONTRACTING DIRECTOR)
- **Authorized official phone:** (971) 430-2335

## Contact information

- **Practice address:** 330 E MILL PLAIN BLVD STE 401, VANCOUVER, WA 98660-2896
- **Practice address phone:** (888) 830-6088
- **Practice address fax:** (888) 850-5616
- **Mailing address:** 6400 SE LAKE RD STE 430, PORTLAND, OR 97222-2129
- **Mailing address phone:** (503) 819-6585
- **Mailing address fax:** (503) 917-4971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2023
- **Last updated:** 12/04/2023