NPI | 1821603069 |
---|---|
Other Name | MATTHEW HARRISON VOLK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202206593NP-PP) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OR 201508580RN) |
Enumeration Date | 2020-09-14 |
Last Update Date | 2022-11-16 |