Organization
ILLUME INTEGRATIVE PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANA M AYRES PMHNP (OWNER)
(541) 422-3851
Entity
Organization
Contact information
Practice address
190 OAK ST APT 4, ASHLAND, OR 97520-1886
(541) 261-9789
Mailing address
190 OAK ST APT 4, ASHLAND, OR 97520-1886
(541) 422-3851
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
03/05/2024
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