NPI | 1194066571 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE VOEGELS Owner/Provider 503-227-4374 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200150014NP) |
Enumeration Date | 2013-03-08 |
Last Update Date | 2013-03-08 |