Provider Demographics
NPI:1437803889
Name:PNW PSYCHIATRY ASSOCIATES LLC
Entity Type:Organization
Organization Name:PNW PSYCHIATRY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:ELYSE
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:808-339-1100
Mailing Address - Street 1:5 CENTERPOINTE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-8661
Mailing Address - Country:US
Mailing Address - Phone:503-744-7186
Mailing Address - Fax:503-386-3226
Practice Address - Street 1:5 CENTERPOINTE DR STE 400
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-8661
Practice Address - Country:US
Practice Address - Phone:503-744-7186
Practice Address - Fax:503-386-3226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty