Individual
C ALYSE LA MONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
528 COTTAGE ST NE STE 340, SALEM, OR 97301-3788
(503) 584-1941
(503) 689-1812
Mailing address
528 COTTAGE ST NE STE 340, SALEM, OR 97301-3788
(503) 584-1941
(503) 689-1812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201392887RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202100427NP-PP
OR
Other
Enumeration date
08/04/2020
Last updated
04/26/2021
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