Miranda Reshae Bostic
PMHNP-BC | Nurse Practitioner - Psych/Mental Health
5441 S Macadam Ave Ste A, Portland
Oregon, 97239-3822
541-248-1204
Miranda Reshae Bostic is a Portland, Oregon based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Miranda Reshae Bostic is 10042383 for Psych/Mental Health in Oregon. Her current practice location is 5441 S Macadam Ave Ste A, Portland. Patients can reach her at 541-248-1204. Miranda Reshae Bostic is PMHNP-BC with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1346668050.
Miranda Reshae Bostic provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Miranda Reshae Bostic speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Miranda Reshae Bostic |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP-BC |
| Practice Address: | 5441 S Macadam Ave Ste A, Portland,
Oregon, 97239-3822 |
| Phone: | 541-248-1204 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1346668050 |
| NPI Enumeration Date: | 31 Mar, 2014 |
| NPI Last Update On: | 18 Sep, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miranda Reshae Bostic are as mentioned below.
| License Number | Specialization | State | Status | |
| 10042383 | Psych/Mental Health | Oregon | Primary | |
| 26208 | Psych/Mental Health | Tennessee | Secondary | |
| 26208 | Nurse Practitioner | Tennessee | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Miranda Reshae Bostic
5441 S Macadam Ave Ste A,
Portland, Oregon |
| Zip: | 97239-3822 |
| Phone Number: | 541-248-1204 |
Patients can reach Miranda Reshae Bostic at
5441 S Macadam Ave Ste A, Portland, Oregon or can
call to book an appointment on 541-248-1204.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.