Organization
SPORTS PSYCHIATRY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN TURNER (OWNER)
(971) 429-6244
Entity
Organization
Contact information
Practice address
9755 SW BARNES RD STE 280, PORTLAND, OR 97225-6609
(971) 429-6244
Mailing address
9755 SW BARNES RD STE 280, PORTLAND, OR 97225-6609
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
03/11/2025
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