Individual
KELLY SEVERHOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
313 E 8TH AVE, EUGENE, OR 97401-2709
(541) 762-0500
Mailing address
313 E 8TH AVE, EUGENE, OR 97401-2709
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN360822
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10024911
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0027942
OH
Other
Enumeration date
03/25/2014
Last updated
04/23/2024
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