Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA RESHAE BOSTIC, PMHNP-BC
ActiveMIRANDA RESHAE BOSTIC, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PORTLAND, Oregon. NPI 1346668050 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · PORTLAND, OR
Registration Details
- NPI Number
- 1346668050
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2014 (12.331742522265 yrs)
- Last Updated
- Sep 18, 2025
- Licenses
-
26208 (TN)10042383 (OR)26208 (TN)
Practice Information
- Address
-
5441 S MACADAM AVE STE APORTLAND, OR, 972393822Browse OR providers · Browse ZIP 97239
- Phone
- 5412481204
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROL SHYCHY WILLEFORD | PMHNP | 1548260268 |
| MS. BRENDA CAROL HEROLD | PMHNP | 1629062518 |
| JENNIFER REBECCA MILLER | ARNP | 1235124603 |
| MS. TERESA CATHERINE KEANE | RN, MSN, PMHNP | 1124017553 |
| MS. SUSAN TERESA MURPHY | PMHNP | 1114918216 |
| CAROL D DODSON | RN, MS, PMHNP | 1215918974 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.