Individual
AMY ELIZABETH CRISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-VC
Contact information
Practice address
890 82ND DR, GLADSTONE, OR 97027-1803
(971) 447-0612
Mailing address
15772 SE NYLA WAY, HAPPY VALLEY, OR 97086-4410
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10030533
OR
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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