Organization
PABST PSYCHIATRIC GROUP
Active
Other names
Portland Psychiatric Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY PABST DNP, PMHNP-BC, RN (MEDICAL DIRECTOR)
(503) 389-1500
Entity
Organization
Contact information
Practice address
7105 SW VARNS ST, SUITE 270, TIGARD, OR 97223-8148
(503) 389-1500
(800) 974-5025
Mailing address
7105 SW VARNS ST, SUITE 270, TIGARD, OR 97223-8148
(503) 389-1500
(800) 974-5025
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150092NP
OR
Other
Enumeration date
03/28/2012
Last updated
02/06/2013
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