Individual
MIRANDA RESHAE BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-3822
(541) 248-1204
Mailing address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-3822
(541) 248-1204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26208
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10042383
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26208
TN
Other
Enumeration date
03/31/2014
Last updated
09/18/2025
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