Healthcare Provider Details

I. General information

NPI: 1831924208
Provider Name (Legal Business Name): RAMLA DEEQ PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 NE IRVING ST
PORTLAND OR
97232-2243
US

IV. Provider business mailing address

10206 51ST AVE S
SEATTLE WA
98178-2129
US

V. Phone/Fax

Practice location:
  • Phone: 503-567-6503
  • Fax: 458-201-6966
Mailing address:
  • Phone: 951-345-0589
  • Fax: 458-201-6966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61600091
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10034503
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: