Organization · Type 2 NPI
Optimal Behavioral Health
Psychiatric/Mental Health Nurse Practitioner · Shady Cove, OR
NPI number
1003243296
Active
Practice location
22297 Highway 62, Suite B
Shady Cove, OR 97539-9831
Mailing address
PO Box 159
Shady Cove, OR 97539-0159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 201150137NP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1003243296
Optimal Behavioral Health's National Provider Identifier is 1003243296, issued on Oct 2, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shady Cove, OR. The record was last updated on Oct 2, 2013.