MISTI LEEANN LAYCOCK-WHARTON

CORVALLIS, OR
NPI1639439276
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: OR  200942214RN)
Enumeration Date2012-05-16
Last Update Date2012-05-16
Business Address
-- MISTI LEEANN LAYCOCK-WHARTON RN, BSN
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 503-234-9591
Mailing Address
-- MISTI LEEANN LAYCOCK-WHARTON RN, BSN
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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