Organization · Type 2 NPI

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Psychiatric/Mental Health Nurse Practitioner · Keizer, OR

NPI number 1821730417 Active

Practice location

5305 River Rd N Ste B1
Keizer, OR 97303-5324

Call (657) 321-9765 Map

Fax (229) 218-2667

Mailing address

16027 Brookhurst St Ste I-732
Fountain Valley, CA 92708-1551

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

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

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About NPI 1821730417

Powered By Self Love Oregon LLC's National Provider Identifier is 1821730417, issued on Apr 13, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Keizer, OR. The record was last updated on Nov 7, 2022.