Organization
ANTARA PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SHOBHA MOKASHI MD (OWNER)
(503) 765-5914
Entity
Organization
Contact information
Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 765-5914
Mailing address
1110 SE ALDER ST, STE 301 PMB 65, PORTLAND, OR 97214
(503) 765-5914
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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