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General NPI Number Information
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NPI Number | 1689509150
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Entity Type | Organization
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Legal Business Name | ESSENTIAL MENTAL HEALTH LLC
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 10260 SW GREENBURG RD STE 400-569
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City | PORTLAND
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State | OR
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Zip | 97223-5500
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Country | US
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Telephone | 503-410-3069
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Fax |
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Provider Business Mailing Address
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Address Line | 10260 SW GREENBURG RD STE 400-569
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City | PORTLAND
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State | OR
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Zip | 97223-5500
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Country | US
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Telephone | 503-410-3069
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | ANGELLA KING COLE
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Credential | PMHNP
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Telephone | 503-410-3069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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