Organization
O'LEARY MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EIN O'LEARY PMHNP (OWNER)
(503) 533-7111
Entity
Organization
Contact information
Practice address
1520 N ALBERTA ST, PORTLAND, OR 97217-3602
(503) 533-7111
(888) 975-6251
Mailing address
1520 N ALBERTA ST, PORTLAND, OR 97217-3602
(503) 533-7111
(888) 975-6251
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C3432
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150097NP
OR
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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