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General NPI Number Information
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NPI Number | 1316803067
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Entity Type | Organization
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Legal Business Name | PLUSPSYCHIATRY LLC
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 2705 E BURNSIDE ST STE 206
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City | PORTLAND
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State | OR
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Zip | 97214-1768
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Country | US
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Telephone | 541-414-4277
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Fax | 971-231-2071
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Provider Business Mailing Address
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Address Line | 1110 SE ALDER ST STE 301
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City | PORTLAND
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State | OR
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Zip | 97214-2400
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Country | US
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Telephone | 541-414-4277
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Fax | 971-231-2071
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | JERMIAH FLOYD
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Credential | PMHNP
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Telephone | 541-414-4277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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