Organization
QUIET MIND MENTAL HEALTH, LLC
Active
Other names
Quiet Mind
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ROBERTS (MEMBER)
(971) 282-2346
Entity
Organization
Contact information
Practice address
1722 NW RALEIGH ST # 211, PORTLAND, OR 97209-1753
(971) 282-2346
Mailing address
7122 NE 10TH AVE, PORTLAND, OR 97211-4004
(971) 282-2346
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201250209NP
OR
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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