Organization Active NPI

Solace Medical Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1184493645
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOLACE MEDICAL CARE
Practice address
111 SW 5TH Ave
Portland, OR 97204-3604
Phone
(562) 760-2450
NPI assigned
Dec 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tuyet Lam GwardysNPI 1447026646
Title
Pmhnp-BC
Phone
(562) 760-2450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

111 SW 5TH Ave
Portland, OR 97204-3604

Mailing address

3119 N Evergreen St
Buckeye, AZ 85396-7787
Phone (562) 760-2450

Other names 1

  • Solace Healthcare Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1184493645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 N EVERGREEN ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853967787",
            "telephone_number": "562-760-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW 5TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043604",
            "telephone_number": "562-760-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "GWARDYS",
        "authorized_official_first_name": "TUYET",
        "authorized_official_middle_name": "LAM",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "562-760-2450"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solace Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.