Geriatric Psychiatry Associates Northwest, P.c.

Specialty details in registry · Portland, OR

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At a glance

1231 Ne Mlk Jr Blvd, Portland, OR 97232-2073

NPPES record updated Aug 10, 2007. Public records can lag behind changes at a practice.

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Practice location

1231 Ne Mlk Jr Blvd #611
Portland, OR 97232-2073

Professional details: NPI, taxonomy & registry record

NPI1760674071

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 2084P0805X
Enumeration date: Aug 10, 2007
Record updated: Aug 10, 2007

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

2084P0805X · Primary

License reported: MD11891 OR

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1231 Ne Mlk Jr Blvd
#611
Portland, OR 97232-2073

Phone: (503) 258-9714
Fax: (503) 254-4840

Mailing address

1231 NE MLK JR BLVD
#611
PORTLAND, OR 972322073

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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