Organization
SOUTHERN OREGON PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL GORDON PMHNP (MEDICAL DIRECTOR/FOUNDER)
(808) 298-9102
Entity
Organization
Contact information
Practice address
3348 WOODLAND PARK RD, GRANTS PASS, OR 97527-9162
(541) 203-6352
Mailing address
3348 WOODLAND PARK RD, GRANTS PASS, OR 97527-9162
(808) 298-9102
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/04/2021
Last updated
09/04/2021
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