NPI 1003243296

Optimal Behavioral Health

Organisation Psychiatric/Mental Health Nurse Practitioner Shady Cove, OR

Practice location

Address: 22297 Highway 62 Suite B, Shady Cove, OR 97539-9831
Phone: (541) 864-0306
Mailing address: PO Box 159, Shady Cove, OR 97539-0159

Authorised official

Name: Melanie Kabot-Sturos
Title: Owner
Phone: (541) 864-0306

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 201150137NP (OR)

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Registry record

NPI: 1003243296
Entity type: Organization
NPI issued: 2 Oct 2013
Record last updated: 2 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.