Individual provider · Type 1 NPI
Michelle G. Vander Waal, PMHNP
Mental Health Counselor · Gearhart, OR
NPI number
1295906915
Active
Practice location
3619 Highway 101 N
Gearhart, OR 97138-4321
Fax (503) 738-3466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 200350142NP (OR) |
Mental Health Counselor: Definition to come...
2 other providers at this address
About NPI 1295906915
Michelle G. Vander Waal, PMHNP's National Provider Identifier is 1295906915, issued on Mar 20, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gearhart, OR. The record was last updated on Mar 20, 2008.