Individual provider · Type 1 NPI

Misti Leeann Laycock-Wharton, RN, BSN

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Corvallis, OR

NPI number 1639439276 Active

Practice location

4455 NE Highway 20
Corvallis, OR 97330-9695

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X200942214RN (OR)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1639439276

Misti Leeann Laycock-Wharton, RN, BSN's National Provider Identifier is 1639439276, issued on May 16, 2012. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Corvallis, OR. The record was last updated on May 16, 2012.