Organization
PRECISION MENTAL PERFORMANCE LLC
Active
Other names
NeuStart Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE K ROBBINS RN (GENERAL MANAGER)
(503) 379-1902
Entity
Organization
Contact information
Practice address
550 NW FRANKLIN AVE STE 268, BEND, OR 97703-2894
(503) 379-1902
Mailing address
2110 MISSION ST SE STE 305, SALEM, OR 97302-0038
(503) 379-1902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500754977
—
OR
Enumeration date
02/09/2022
Last updated
09/13/2022
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