| NPI | 1720946569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISHA HARDISON LOVE Psychiatric Nurse Practitioner 971-486-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-01-12 |