Organization
WANDERLUST PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLI SAWYER VANDENHOUTEN PMHNP (OWNER / PMHNP)
(503) 516-3977
Entity
Organization
Contact information
Practice address
5331 S MACADAM AVE STE 258-1159, PORTLAND, OR 97239-6104
(503) 966-3135
(503) 300-4645
Mailing address
5331 S MACADAM AVE STE 258-1159, PORTLAND, OR 97239-6104
(503) 966-3135
(503) 300-4645
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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