Individual
MS. MARLA CASTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2828 SW KELLY AVE STE B, PORTLAND, OR 97201-4809
(503) 477-7878
Mailing address
25 NW 23RD PL STE 6, PORTLAND, OR 97210-5580
(503) 477-7878
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
201406687RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201606731NP-PP
OR
Other
Enumeration date
03/10/2015
Last updated
01/09/2020
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