Organization
THREADED PATH PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA YVONNE SMITH NP (PMHNP-BC)
(503) 812-2844
Entity
Organization
Contact information
Practice address
2705 E BURNSIDE ST STE 110, PORTLAND, OR 97214-1767
(503) 812-2844
Mailing address
2705 E BURNSIDE ST STE 110, PORTLAND, OR 97214-1767
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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