Organization
LIFESPAN PSYCHIATRIC CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW VILIUS PMHNP (OWNER / PRINCIPAL)
(503) 491-5896
Entity
Organization
Contact information
Practice address
955 NE 3RD ST, GRESHAM, OR 97030-7418
(503) 491-5896
(888) 972-9783
Mailing address
955 NE 3RD ST, GRESHAM, OR 97030-7418
(503) 491-5896
(888) 972-9783
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20070075NP
OR
Other
Enumeration date
01/24/2017
Last updated
02/22/2022
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