| NPI | 1225911514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OR 10007540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10007540) |
| 163WC1500X Registered Nurse, Community Health (Licence: OR 10007540) | |
| 163WH0200X Registered Nurse, Home Health (Licence: OR 10007540) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 10007540) | |
| Enumeration Date | 2025-07-26 |
| Last Update Date | 2025-07-26 |