Individual
MS. MELISSA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
11958 SW GARDEN PL, TIGARD, OR 97223-8248
(866) 966-6463
Mailing address
PO BOX 542, CORBETT, OR 97019-0542
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10017951
OR
Other
Enumeration date
11/06/2023
Last updated
02/23/2024
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