<Unavail>

LBN: Stasis Psychiatry, Llc
<Unavail> is an health care organization with primary practice located at 4035 12Th St Cutoff Se Ste 120 , Salem OR 97302-1754. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Stasis Psychiatry, Llc can be contacted via phone (971) 304-9306, or through Johnson, Nathan Patrick via phone (971) 304-9306.

Contact Information

Primary practice address
4035 12Th St Cutoff Se Ste 120 Salem OR 97302-1754
Phone: (971) 304-9306
Fax: (503) 926-6624
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Nathan Patrick Master of Science in Nursing (MSN)
Phone: (971) 304-9306

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1427527886
LBN Legal business name Stasis Psychiatry, Llc
DBA Doing business as <Unavail>
Authorized official Johnson, Nathan Patrick Master of Science in Nursing (MSN)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2018
Last updated Apr 13th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427527886 NPPES
Tennessee Other 1952754442 NPI
Tennessee MEDICAID 500735377 NPI

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