Organization
COMPASS PSYCHIATRIC WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNEMIEKE CLARK EMCH PMHNP (OWNER)
(503) 741-2735
Entity
Organization
Contact information
Practice address
1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006-5236
(503) 741-2735
(503) 308-7222
Mailing address
1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006-5236
(503) 741-2735
(503) 308-7222
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
12/23/2025
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