Organization
OPTIMAL BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE KABOT-STUROS PMHNP-BC (OWNER)
(541) 864-0306
Entity
Organization
Contact information
Practice address
22297 HIGHWAY 62, SUITE B, SHADY COVE, OR 97539-9831
(541) 864-0306
Mailing address
PO BOX 159, SHADY COVE, OR 97539-0159
(541) 864-0306
(541) 878-2624
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150137NP
OR
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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