Individual
DARA MICHELLE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2200 4TH STREET, BAKER CITY, OR 97814
(541) 523-3646
(541) 523-7602
Mailing address
P.O. BOX 1005, BAKER CITY, OR 97814
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
Primary
201507905NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500697153
—
OR
Enumeration date
10/29/2015
Last updated
11/01/2018
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