Organization
HAUSKAA PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT LOUIS KOIVISTO PMHNP (OWNER)
(503) 522-2831
Entity
Organization
Contact information
Practice address
7145 SW VARNS ST STE 101, TIGARD, OR 97223-8170
(971) 405-2584
Mailing address
7145 SW VARNS ST STE 101, TIGARD, OR 97223-8170
(971) 405-2584
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500847119
—
OR
Enumeration date
05/03/2024
Last updated
11/07/2025
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