Axis Psychiatric Services Llc
LBN: Axis Psychiatric Services, Llc
Axis Psychiatric Services Llc is an health care organization with primary practice located at 4035 12Th St Cut Off Se Ste 140 , Salem OR 97302-1754. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Adult Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Axis Psychiatric Services, Llc can be contacted via phone (971) 304-9306, or through Baker, Tarra Leani via phone (615) 243-5407.
Contact Information
Primary practice address
4035 12Th St Cut Off Se Ste 140
Salem OR 97302-1754
Phone: (971) 304-9306
Fax: (503) 371-2006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 201701173NP-PP | Oregon |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 201701173NP-PP | Oregon |
Profile Details
| NPI number | 1457845182 |
|---|---|
| LBN Legal business name | Axis Psychiatric Services, Llc |
| DBA Doing business as | Axis Psychiatric Services Llc |
| Authorized official | Baker, Tarra Leani MSN, PMHNP, NP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2018 |
| Last updated | Jan 5th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457845182 | NPPES |
| Oregon | Other | 1740736156 | NPI |
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