Provider Demographics
NPI:1528828852
Name:SOMETHING HUMAN MENTAL HEALTH
Entity type:Organization
Organization Name:SOMETHING HUMAN MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:971-500-5551
Mailing Address - Street 1:8835 SW CANYON LN STE 236
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-3452
Mailing Address - Country:US
Mailing Address - Phone:971-500-5551
Mailing Address - Fax:833-672-2868
Practice Address - Street 1:8835 SW CANYON LN STE 236
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-3452
Practice Address - Country:US
Practice Address - Phone:971-500-5551
Practice Address - Fax:833-672-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty