| NPI | 1598126310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYELET AMITTAY Registered Agent 541-636-2855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201150061NP) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |