Illumina Integrative Psychiatry
Illumina Integrative Psychiatry is a Counseling Psychologist in Portland, Oregon. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 4
Practice location Address checks out
1109 NE Prescott StPortland, OR 97211-4659
Phone: (208) 696-8107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|---|
| Counseling Psychologist | Taxonomy 103TC1900X |
| Health & Wellness Coach | Taxonomy 171400000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1932067139 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Krista Miller — Owner · (208) 596-8107 |
| NPI enumerated | January 14, 2026 |
| Last updated in NPPES | January 14, 2026 |
| Certification date | January 14, 2026 |
| Mailing address | 1109 Ne Prescott St, Portland, OR 97211-4659 |
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