MICHELLE G VANDER WAAL

GEARHART, OR
NPI1295906915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  200350142np)
Enumeration Date2008-03-20
Last Update Date2008-03-20
Business Address
-- MICHELLE G VANDER WAAL PMHNP
3619 HIGHWAY 101 N
GEARHART, OR 97138-4321
Phone number: 503-738-3832
Mailing Address
-- MICHELLE G VANDER WAAL PMHNP
3619 HIGHWAY 101 N
GEARHART, OR 97138-4321
Phone number: 503-738-3832