Healthcare Provider Details

I. General information

NPI: 1255235321
Provider Name (Legal Business Name): TOWNE PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 S MACADAM AVE
PORTLAND OR
97239-3622
US

IV. Provider business mailing address

5441 S MACADAM AVE # 6702
PORTLAND OR
97239-6106
US

V. Phone/Fax

Practice location:
  • Phone: 408-668-2997
  • Fax:
Mailing address:
  • Phone: 408-668-2997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOSHUA SHYNGLE
Title or Position: OWNER
Credential: MSN, PMHNP-BC
Phone: 408-668-2997