Individual
JUSTIN RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.M.H.N.P.
Contact information
Practice address
1675 SW MARLOW AVE, #315, PORTLAND, OR 97225-5104
(503) 352-4270
(503) 430-5350
Mailing address
1675 SW MARLOW AVE, #315, PORTLAND, OR 97225
(503) 352-4270
(503) 430-5350
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201403432NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60468829
WA
Other
Enumeration date
06/13/2014
Last updated
11/05/2015
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