Organization
ASPIRE TELEPSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIDY CLAYBORN (MANAGER)
(828) 638-0217
Entity
Organization
Contact information
Practice address
1910 24TH ST NE, SALEM, OR 97301-8150
(704) 322-0863
Mailing address
1115 MADISON ST NE # 254, SALEM, OR 97301-7862
(877) 277-4739
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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