Individual provider · Type 1 NPI
Susan Z. Mangnall-Harris, L.C.S.W., PMHNP
Psychiatric/Mental Health Nurse Practitioner · Pendleton, OR
NPI number
1508927880
Active
Practice location
17 SW Frazer Ave, Suite # 242
Pendleton, OR 97801-2163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | L2094 (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 201150002NP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1508927880
Susan Z. Mangnall-Harris, L.C.S.W., PMHNP's National Provider Identifier is 1508927880, issued on Dec 12, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pendleton, OR. The record was last updated on Jan 28, 2011.