Individual
MRS. GAYLE M WOOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
420 N.E. 5TH ST, MCMINNVILLE, OR 97128
(503) 434-7462
(503) 434-7335
Mailing address
2303 WOODED KNOLLS DR, PHILOMATH, OR 97370
(541) 929-4218
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200050099NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268960
OMAP (OREGON MEDICAL ASSI
OR
Enumeration date
12/20/2006
Last updated
01/10/2012
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