Healthcare Provider Details

I. General information

NPI: 1962767459
Provider Name (Legal Business Name): TRUE NORTH PSYCHIATRIC SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2012
Last Update Date: 01/06/2020
Certification Date: 01/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 W ORCHARD AVE STE A
HERMISTON OR
97838-1592
US

IV. Provider business mailing address

955 W ORCHARD AVE STE A
HERMISTON OR
97838-1592
US

V. Phone/Fax

Practice location:
  • Phone: 541-289-1637
  • Fax: 541-567-2552
Mailing address:
  • Phone: 541-289-1637
  • Fax: 541-567-2552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP600279781
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201250006NP
License Number StateOR

VIII. Authorized Official

Name: CANDACE R. OSGOOD
Title or Position: MEMBER/NURSE PRACTITIONER
Credential: PMHNP
Phone: 541-289-1637