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Individual

MIRANDA L FOUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
11211 SE 82ND AVE STE O, HAPPY VALLEY, OR 97086-7641
(503) 655-8585
(503) 722-6545
Mailing address
11211 SE 82ND AVE STE O, HAPPY VALLEY, OR 97086-7641
(503) 655-8585
(503) 722-6545

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
201143233RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
201392158NP-PP
OR
363LC1500X
Community Health Nurse Practitioner
201392158NP
OR
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
201392158NP
OR

Other

Enumeration date
02/12/2008
Last updated
12/04/2018
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