Organization
OBSIDIAN PSYCHIATRY LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN M LEWIS DNP, PMHNP, FNP (OWNER/OPERATOR)
(808) 345-7880
Entity
Organization
Contact information
Practice address
2900 NW CLEARWATER DR STE 200-80, BEND, OR 97703-9410
(541) 876-5803
Mailing address
2900 NW CLEARWATER DR STE 200-80, BEND, OR 97703-9410
(541) 876-5803
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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