ULISTA JEAN BROOKS

SALEM, OR
NPI1447350517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR  MD10888)
Enumeration Date2006-09-25
Last Update Date2007-07-08
Business Address
-- ULISTA JEAN BROOKS MD
2600 CENTER ST NE CLINIC OREGON STATE HOSPITAL
SALEM, OR 97301
Phone number: 503-945-2800
Mailing Address
-- ULISTA JEAN BROOKS MD
PO BOX 14900
SALEM, OR 97309-5016
Phone number: 503-945-9840