Lauren Deisenroth Pmhnp-BC LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LAUREN DEISENROTH PMHNP-BC LLC

Practice address

4511 SE Hawthorne Blvd
Suite 215
Portland, OR 97215-3170

Phone

(503) 224-6446

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Lauren Katherine Deisenroth, PMHNP-BC

Title

Pmhnp, Owner

Phone

(918) 520-3000

Specialties & licenses 1

Addresses

Other names 1

• Lauren Deisenroth PMHNP-BC Doing business as

Locations

Practitioners 1

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

• Lori Janette Olson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1891851127
  NPD (past)

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1306394663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 SE HAWTHORNE BLVD",
            "address_2": "SUITE 215",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 SE HAWTHORNE BLVD",
            "address_2": "SUITE 215",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153170",
            "telephone_number": "503-224-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN DEISENROTH PMHNP-BC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "DEISENROTH",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "PMHNP, OWNER",
        "authorized_official_telephone_number": "918-520-3000",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lauren Deisenroth PMHNP-BC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.