Individual
MRS. RITA HERLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4035 12TH STREET CUTOFF, SUIT120, SALEM, OR 97302-1764
(503) 363-4506
(503) 362-3607
Mailing address
PO BOX 5785, SALEM, OR 97304-0785
(503) 363-4506
(503) 362-3607
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000033561N6
OR
Other
Enumeration date
11/27/2006
Last updated
05/20/2016
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