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Organization

DEEP INSIGHT GROUP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SHAWN DEREMER DAWN MOORE MD (MEDICAL DIRECTOR)
(971) 358-9292
Entity
Organization

Contact information

Practice address
1925 VILLAGE CENTER CIR STE 150, LAS VEGAS, NV 89134-6261
(725) 212-4523
(725) 212-4524
Mailing address
6400 SE LAKE RD STE 430, PORTLAND, OR 97222-2129
(971) 358-9292
(503) 917-4971

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
02/27/2023
Last updated
02/27/2023
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