Organization
LIMINAL MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ROBERT MACPHE NP (OWNER)
(415) 515-4385
Entity
Organization
Contact information
Practice address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
(415) 515-4385
Mailing address
2625 18TH ST, SAN FRANCISCO, CA 94110-2110
(415) 515-4385
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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