Individual
MS. MICHELLE LYNN LA SCALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1128 NW HARRIMAN ST, BEND, OR 97703-1947
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
201901089RN
OR
163W00000X
Registered Nurse
Primary
201901089RN
OR
163W00000X
Registered Nurse
RN643639
CA
Other
Enumeration date
11/22/2006
Last updated
11/22/2019
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