Organization
DEEP INSIGHT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MOORE (REGIONAL CONTRACTING DIRECTOR)
(503) 819-6585
Entity
Organization
Contact information
Practice address
2255 NW SHEVLIN PARK RD STE 120, BEND, OR 97703-7134
(888) 830-6088
(888) 850-5616
Mailing address
6400 SE LAKE RD STE 135, PORTLAND, OR 97222-2189
(888) 830-6088
(888) 850-5616
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
10/02/2023
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