Organization
PRECISION MENTAL PERFORMANCE LLC
Active
Other names
NeuStart Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE K ROBBINS RN (OWNER)
(503) 379-1902
Entity
Organization
Contact information
Practice address
17933 NW EVERGREEN PL STE 285, BEAVERTON, OR 97006-7532
(503) 379-1902
(503) 379-1964
Mailing address
2110 MISSION ST SE STE 305, SALEM, OR 97302-0038
(503) 379-1902
(503) 379-1964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500754977
—
OR
Enumeration date
07/21/2021
Last updated
07/23/2021
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