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Organization

DEEP INSIGHT PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY DAWN MOORE (REGIONAL CONTRACTING DIRECTOR)
(971) 430-2335
Entity
Organization

Contact information

Practice address
330 E MILL PLAIN BLVD STE 401, VANCOUVER, WA 98660-2896
(888) 830-6088
(888) 850-5616
Mailing address
6400 SE LAKE RD STE 430, PORTLAND, OR 97222-2129
(503) 819-6585
(503) 917-4971

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
11/08/2023
Last updated
12/04/2023
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