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NPI 1407375801

OrganizationActive

At Home Psychiatry LLC

NPI 1407375801 · Community/Behavioral Health Agency · Portland, OR

Provider details

NPI number: 1407375801
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Authorized official: Mindy Moore, Owner
License: 200850112NP (OR)

Practice location

7975 Sw 83rd Ave

Portland, OR 97223-7334

Phone: (888) 667-6467

Fax: (888) 667-6467

More OR providers

Mailing address

8959 Sw Barbur Blvd Ste 115

Portland, OR 97219-4032

Registry dates

Enumerated: 2017-09-17
Last updated: 2019-02-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

At Home Psychiatry LLC — NPI 1407375801, Portland, OR | NPI Central