Individual
ROYLYNN UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
824 E JACKSON ST STE A, MEDFORD, OR 97504-6745
(458) 488-1000
(458) 488-1001
Mailing address
7737 OLD STAGE RD, CENTRAL POINT, OR 97502-9717
(503) 819-1064
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
200440705RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10032035
OR
Other
Enumeration date
06/28/2024
Last updated
11/23/2025
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