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General NPI Number Information
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NPI Number | 1528970407
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Entity Type | Organization
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Legal Business Name | PORTLAND PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 200 NE 20TH AVE STE 20
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City | PORTLAND
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State | OR
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Zip | 97232-3094
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Country | US
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Telephone | 503-226-8918
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Fax | 503-226-8918
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Provider Business Mailing Address
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Address Line | 200 NE 20TH AVE STE 20
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City | PORTLAND
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State | OR
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Zip | 97232-3094
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Country | US
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Telephone | 503-226-8918
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Fax | 503-226-8918
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Authorized Official
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Title or Position | MD/PARTNER
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Name | DR. JAYNE LASZEWSKI
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Credential | MD
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Telephone | 503-201-0278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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