Organization
S MANGNALL-HARRIS, PSYD, PMHNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN Z MANGNALL-HARRIS PMHNP (OWNER)
(541) 289-0955
Entity
Organization
Contact information
Practice address
955 W ORCHARD AVE, HERMISTON, OR 97838-1591
(541) 289-0955
(541) 289-0956
Mailing address
PO BOX 154, HERMISTON, OR 97838-0154
(541) 289-0955
(541) 289-0956
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150002NP
OR
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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