Organization
MIND HEALTH CONCIERGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MYERS PMHNP-BC (OWNER)
(317) 796-2503
Entity
Organization
Contact information
Practice address
36641 SE LUSTED RD, BORING, OR 97009-9717
(317) 796-2503
Mailing address
36641 SE LUSTED RD, BORING, OR 97009-9717
(317) 796-2503
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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