Organization
ASANAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN L LANGWORTHY PMHNP (OWNER)
(503) 383-9350
Entity
Organization
Contact information
Practice address
4110 SE HAWTHORNE BLVD # 273, PORTLAND, OR 97214-5246
(503) 383-9350
Mailing address
4110 SE HAWTHORNE BLVD # 273, PORTLAND, OR 97214-5246
(503) 383-9350
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/13/2021
Last updated
01/25/2022
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