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

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201150137NP (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.