Organization · Type 2 NPI

Vida Family Medicine

Psychiatric/Mental Health Nurse Practitioner · Salem, OR

NPI number 1184086209 Active

Practice location

374 Owens St SE
Salem, OR 97302-4183

Fax (503) 399-1406

Mailing address

PO Box 883
Salem, OR 97308-0883

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X07-12-12 (OR)
Social Worker 104100000XL6901 (OR)
Marriage & Family Therapist 106H00000XT0986 (OR)
Marriage & Family Therapist 106H00000XT0889 (OR)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201402104-NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1184086209

Vida Family Medicine's National Provider Identifier is 1184086209, issued on Mar 28, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Salem, OR. The record was last updated on Apr 11, 2022.