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Organization

HARBORSIDE PSYCHIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KACIE LAUREN BERRY PMHNP (OWNER)
(541) 714-5610
Entity
Organization

Contact information

Practice address
213 E. MAIN STREET, ROGUE RIVER, OR 97537-9100
(541) 714-5610
(541) 714-5611
Mailing address
213 E. MAIN STREET, ROGUE RIVER, OR 97537-9100
(541) 714-5610
(541) 714-5611

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
01/08/2025
Last updated
08/21/2025
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