Organization
OASIS MENTAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY D HENRY PMHNP (PRESIDENT)
(541) 636-9846
Entity
Organization
Contact information
Practice address
331 GOODPASTURE ISLAND RD, EUGENE, OR 97401-2109
(541) 636-9846
(541) 636-9847
Mailing address
331 GOODPASTURE ISLAND RD, EUGENE, OR 97401-2109
(541) 636-9846
(541) 636-9847
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500644984
—
OR
Enumeration date
01/26/2017
Last updated
08/05/2023
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