| NPI | 1366427759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE FINE Clinical Nurse Specialist/A RN P 541-245-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OR 200870007CNS-PP) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 1546) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2013-01-09 |