Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wellspring Psychiatry LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1336998616

Wellspring Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner in Lake Oswego, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5 Centerpointe Dr Ste 400
Lake Oswego, OR 97035-8661
Phone: (503) 919-7682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1336998616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Kirkwood — Owner · (503) 757-4209
Other names Wellspring Psychiatry
NPI enumeratedMay 17, 2024
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024
Mailing address5 Centerpointe Dr Ste 400, Lake Oswego, OR 97035-8661

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