| NPI | 1043015258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN RAE HARTSELL Owner 541-941-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |