Whalio Doctors

NPI 1063468692

Psychiatric Care PC

Organisation Child & Adolescent Psychiatry Physician Portland, OR

Practice location

Address
2250 NW Flanders St Suite 103, Portland, OR 97210-3443
Phone
(503) 222-1524
Fax
(503) 224-1880
Mailing address
3439 NE Sandy Blvd Pmb 375, Portland, OR 97232-1959

Authorised official

Name
Kathryn Flegel
Title
Owner
Phone
(503) 222-1524

Registered specialties

Child & Adolescent Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence MD13388 (OR)

Registry record

NPI
1063468692
Entity type
Organization
NPI issued
25 May 2006
Record last updated
4 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.