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NPI Code Detail

MEDICARE: HELLSTROM PSYCHIATRY LLC

MEDICARE: HELLSTROM PSYCHIATRY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1417715921
Entity Type Code : Organization
Provider Name (Legal Business Name) : HELLSTROM PSYCHIATRY LLC
Provider Business Mailing Address
First Line : PO BOX 283
Second Line :
City : GLADSTONE
State : OR
Zip : 97027-0283
Country : US
Telephone Number : 53-319-0885
Fax Number : 844-621-8908
Provider Business Practice Location Address
First Line : 117 6TH ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-1801
Country : US
Telephone Number : 503-319-0885
Fax Number : 844-621-8908
Authorized Official
Title or Position : OWNER
Name : JOSHUA HELLSTROM
Credential : PMHNP-BC
Telephone Number : 503-913-5629
Provider Enumeration Date : 03/08/2024
Last Update Date : 06/21/2026

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Directions to “HELLSTROM PSYCHIATRY LLC ” Practice Location

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