Healthcare Provider Details

I. General information

NPI: 1043517188
Provider Name (Legal Business Name): PATRICIA A. DEMSKY PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PATRICIA A. STIRLING

II. Dates (important events)

Enumeration Date: 02/25/2011
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 SW BEAVERTON HILLSDALE HWY
BEAVERTON OR
97005-3019
US

IV. Provider business mailing address

2005 NW MCGAREY DR
MCMINNVILLE OR
97128-6773
US

V. Phone/Fax

Practice location:
  • Phone: 248-652-5291
  • Fax: 248-652-5817
Mailing address:
  • Phone: 734-223-6766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704130153
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: