Organization
WELL COAST PSYCHIATRIC INC. A NURSING CORP
Active
Organization
WELL COAST PSYCHIATRIC INC. A NURSING CORP
Active
Other names
Celium Healthcare, Well Coast Psychiatric
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK LEE PMHNP (OWNER)
(888) 923-5486
Entity
Organization
Contact information
Practice address
10260 SW GREENBURG RD FL 4, TIGARD, OR 97223-5500
(888) 923-5486
(866) 225-9111
Mailing address
11575 SW PACIFIC HWY # 40452, TIGARD, OR 97223-8671
(888) 923-5486
(866) 225-9111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP95002431
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699110890
NPI
—
Enumeration date
06/14/2018
Last updated
07/17/2022
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