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ILLUMINA INTEGRATIVE PSYCHIATRY
NPI 1932067139
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since January 14, 2026
1109 NE PRESCOTT ST, PORTLAND, OR 97211(208) 696-8107 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Illumina Integrative Psychiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLUMINA INTEGRATIVE PSYCHIATRY (NPI 1932067139) is a healthcare organization registered as a psychiatric/mental health in Portland, Oregon and active in the NPI registry since January 2026. The organization lists Krista Elizabeth Miller, Owner, as its authorized official.

NPPES Registry Identity

NPI1932067139
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameILLUMINA INTEGRATIVE PSYCHIATRY
Location Address1109 NE PRESCOTT STPortland, OR 97211-4659
Mailing Address1109 Ne Prescott StPortland, OR 97211-4659 · (208) 696-8107
Phone(208) 696-8107
Organization SubpartNo
Authorized OfficialKrista Elizabeth MillerOwner · (208) 596-8107
Enumeration DateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
✔ NPI 1932067139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1109 NE PRESCOTT ST, Portland, OR 97211
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTA ELIZABETH MILLER
Nurse Practitioner
1109 NE PRESCOTT ST
PORTLAND, OR 97211
Multnomah County (208) 596-8107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illumina Integrative Psychiatry's NPI number?

The NPI number for Illumina Integrative Psychiatry is 1932067139. It was assigned to this organization in the NPPES registry on January 14, 2026.

Where is Illumina Integrative Psychiatry located?

Illumina Integrative Psychiatry is located at 1109 NE Prescott St, Portland, OR 97211. The listed phone number is (208) 696-8107.

What is Illumina Integrative Psychiatry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Illumina Integrative Psychiatry was last updated on January 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.