Individual
MRS. SHERYL ROSALES MOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2029 SE JEFFERSON ST, SUITE 101, MILWAUKIE, OR 97222-7605
(503) 714-6481
(503) 894-7972
Mailing address
4207 SE WOODSTOCK BLVD # 286, PORTLAND, OR 97206-6267
(503) 714-6481
(503) 894-7972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200241621RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200450025NP PMHNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025187
—
OR
Enumeration date
02/02/2007
Last updated
04/27/2017
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