NPI | 1518718477 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHNNI CANSLER CEO 971-434-7211 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 104100000X Social Worker |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2024-03-28 |
Last Update Date | 2024-03-28 |