Healthcare Provider Details

I. General information

NPI: 1639015357
Provider Name (Legal Business Name): PSYCHCARE WELLNESS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4304 SE 182ND AVE
GRESHAM OR
97030-5058
US

IV. Provider business mailing address

4304 SE 182ND AVE
GRESHAM OR
97030-5058
US

V. Phone/Fax

Practice location:
  • Phone: 469-396-5980
  • Fax:
Mailing address:
  • Phone: 469-396-5980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JAMES WAWERU
Title or Position: OWNER OF ENTITY
Credential:
Phone: 469-396-5980