Organization
OREGON BEHAVIORAL HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON RYAN PMHNP (OWNER)
(541) 727-7787
Entity
Organization
Contact information
Practice address
312 OAK ST STE 205, CENTRAL POINT, OR 97502-2542
(541) 727-7787
(541) 727-7529
Mailing address
312 OAK ST STE 205, CENTRAL POINT, OR 97502-2542
(541) 727-7787
(541) 727-7529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
05/04/2023
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