Organization
INSIGHT HAVEN LLC
Active
Organization
INSIGHT HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSEY NELSON PSYD (PARTNER)
(971) 266-0647
Entity
Organization
Contact information
Practice address
9022 N DRUMMOND AVE, PORTLAND, OR 97217-7130
(971) 266-0647
Mailing address
9022 N DRUMMOND AVE, PORTLAND, OR 97217-7130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346713450
NPI
OR
01
—
1962036483
NPI
OR
Enumeration date
10/10/2022
Last updated
10/10/2022
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