NPI | 1578744355 |
---|---|
Former Legal Business Name | SOLARITY MENTAL HEALTH, LLC |
Entity Type | Organization |
Authorized Contact | JOLYN ANN ZELLER Owner 503-763-1778 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OR 200350049NP) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200350049NP) | |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OR 095000354RN) | |
Enumeration Date | 2007-11-20 |
Last Update Date | 2015-10-08 |