Organization
NORTHWEST ADHD TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANELL BJORNSON PMHNP (PRESIDENT)
(971) 533-4184
Entity
Organization
Contact information
Practice address
10011 SE DIVISION ST, SUITE 203, PORTLAND, OR 97266-1351
(503) 255-2343
(503) 255-2344
Mailing address
PO BOX 16308, PORTLAND, OR 97292-0308
(971) 231-5145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2197
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150043NP
OR
Other
Enumeration date
01/05/2014
Last updated
04/27/2015
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