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Organization

SOLARITY MENTAL HEALTH, PC

Active
Other names
Solarity Mental Health, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOLYN ANN ZELLER PMHNP (OWNER)
(503) 763-1778
Entity
Organization

Contact information

Practice address
3787 RIVER RD NORTH, RIVER RD PLAZA SUITE A, KEIZER, OR 97303
(503) 763-1778
(503) 980-7888
Mailing address
PO BOX 18180, SALEM, OR 97305
(503) 763-1778
(503) 980-7888

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
095000354RN
OR
251S00000X
Community/Behavioral Health Agency
200350049NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200350049NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
240505
OR
Enumeration date
11/20/2007
Last updated
10/08/2015
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