Individual provider · Type 1 NPI
Marla Castello, RN
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1295128650
Active
Practice location
2828 SW Kelly Ave Ste B
Portland, OR 97201-4809
Mailing address
25 NW 23rd Pl Ste 6
Portland, OR 97210-5580
Other practice locations
- 1120 SW 3rd Ave, Portland, OR 97204-2828 · (503) 988-3051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 201406687RN (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 201606731NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1295128650
Marla Castello, RN's National Provider Identifier is 1295128650, issued on Mar 10, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Jan 9, 2020.